Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.88 / $194.29 / $240.96	Professional		$166.88	$194.29	$240.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $283.50 / $452.49 / $1,738.13	Professional		$283.50	$452.49	$1,738.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.50 / $184.50 / $184.50	Professional		$184.50	$184.50	$184.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.36 / $248.38 / $444.46	Professional		$185.36	$248.38	$444.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $296.75 / $517.56	Professional		$55.16	$296.75	$517.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.45 / $440.44 / $564.22	Professional		$288.45	$440.44	$564.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $286.49 / $352.83 / $522.54	Professional		$286.49	$352.83	$522.54
United Facility/Professional Professional Modifier Low / Median / High Price $273.12 / $362.51 / $597.64	Professional		$273.12	$362.51	$597.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $171.16 / $171.16 / $202.29	Professional		$171.16	$171.16	$202.29