Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.24 / $150.10 / $218.92	Facility	26	$96.24	$150.10	$218.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.61 / $317.13 / $517.16	Professional		$208.61	$317.13	$517.16
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $99.66 / $146.34 / $516.30	Facility	26	$99.66	$146.34	$516.30
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $321.27 / $569.38 / $1,972.13	Professional		$321.27	$569.38	$1,972.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.73 / $485.72 / $735.00	Professional		$240.73	$485.72	$735.00
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $92.94 / $167.60 / $807.38	Facility	26	$92.94	$167.60	$807.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.32 / $376.65 / $558.48	Professional		$191.32	$376.65	$558.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $224.19 / $509.80	Professional		$34.22	$224.19	$509.80
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $112.21 / $145.72 / $150.08	Facility	26	$112.21	$145.72	$150.08
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $160.93 / $160.93 / $178.82	Professional		$160.93	$160.93	$178.82
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $99.66 / $99.66 / $102.37	Facility	26	$99.66	$99.66	$102.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.27 / $521.98 / $640.17	Professional		$321.27	$521.98	$640.17
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $516.30 / $516.30 / $773.56	Facility	26	$516.30	$516.30	$773.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $318.32 / $449.01 / $604.79	Professional		$318.32	$449.01	$604.79
United Facility/Professional Professional Modifier Low / Median / High Price $265.76 / $448.86 / $662.34	Professional		$265.76	$448.86	$662.34