Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.52 / $73.61 / $91.88	Professional		$63.52	$73.61	$91.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $106.26 / $171.41 / $651.60	Professional		$106.26	$171.41	$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 / $94.17 / $168.52	Professional		$69.72	$94.17	$168.52
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 $98.92 / $135.09 / $224.92	Professional		$98.92	$135.09	$224.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.87 / $64.87 / $76.78	Professional		$64.87	$64.87	$76.78