Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.53 / $284.33 / $624.63	Professional		$209.53	$284.33	$624.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $216.46 / $247.39 / $694.02	Professional		$216.46	$247.39	$694.02
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $328.94 / $533.29 / $2,008.13	Professional		$328.94	$533.29	$2,008.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.09 / $199.09 / $199.09	Professional		$199.09	$199.09	$199.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $270.94 / $542.92 / $727.16	Professional		$270.94	$542.92	$727.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $370.29 / $629.92	Professional		$63.00	$370.29	$629.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $361.13 / $533.29 / $645.79	Professional		$361.13	$533.29	$645.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $328.94 / $462.80 / $618.86	Professional		$328.94	$462.80	$618.86
United Facility/Professional Professional Modifier Low / Median / High Price $258.77 / $328.41 / $634.66	Professional		$258.77	$328.41	$634.66