Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.48 / $77.98 / $105.07	Professional		$63.48	$77.98	$105.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $106.26 / $168.86 / $651.60	Professional		$106.26	$168.86	$651.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.93 / $69.93 / $69.93	Professional		$69.93	$69.93	$69.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.72 / $93.42 / $167.17	Professional		$69.72	$93.42	$167.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $148.26 / $258.88	Professional		$27.52	$148.26	$258.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $165.70 / $212.26	Professional		$108.00	$165.70	$212.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $108.02 / $131.66 / $196.85	Professional		$108.02	$131.66	$196.85
United Facility/Professional Professional Modifier Low / Median / High Price $103.21 / $136.31 / $226.05	Professional		$103.21	$136.31	$226.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.87 / $64.87 / $76.78	Professional		$64.87	$64.87	$76.78