Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $115.85 / $166.04 / $225.46	Facility	26	$115.85	$166.04	$225.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.88 / $455.18 / $829.47	Professional		$222.88	$455.18	$829.47
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $125.68 / $419.33 / $419.33	Facility	26	$125.68	$419.33	$419.33
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $456.94 / $928.24 / $3,843.00	Professional		$456.94	$928.24	$3,843.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.74 / $577.20 / $1,334.82	Professional		$274.74	$577.20	$1,334.82
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $70.70 / $118.33 / $227.16	Facility	26	$70.70	$118.33	$227.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $220.64 / $361.76 / $655.25	Professional		$220.64	$361.76	$655.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.38 / $375.37 / $973.91	Professional		$83.38	$375.37	$973.91
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $124.52 / $172.19 / $184.25	Facility	26	$124.52	$172.19	$184.25
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $160.93 / $160.93 / $230.86	Professional		$160.93	$160.93	$230.86
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $123.67 / $123.67 / $125.68	Facility	26	$123.67	$123.67	$125.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $611.39 / $981.77 / $1,194.83	Professional		$611.39	$981.77	$1,194.83
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 $621.39 / $849.39 / $1,131.96	Professional		$621.39	$849.39	$1,131.96
United Facility/Professional Professional Modifier Low / Median / High Price $324.88 / $691.17 / $1,246.40	Professional		$324.88	$691.17	$1,246.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $326.32 / $391.93 / $451.40	Professional		$326.32	$391.93	$451.40