Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.06 / $34.94 / $83.38	Facility	26	$32.06	$34.94	$83.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.67 / $66.03 / $149.40	Professional		$47.67	$66.03	$149.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.62 / $40.31 / $129.00	Professional	26	$26.62	$40.31	$129.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.51 / $72.51 / $89.08	Professional		$72.51	$72.51	$89.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.15 / $51.25 / $51.25	Professional	26	$40.15	$51.25	$51.25
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $38.04 / $100.00 / $330.42	Facility	26	$38.04	$100.00	$330.42
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $69.62 / $121.18 / $434.63	Professional		$69.62	$121.18	$434.63
Asuris Northwest Health Facility/Professional Professional Modifier 26 Low / Median / High Price $41.36 / $71.38 / $255.83	Professional	26	$41.36	$71.38	$255.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.32 / $101.44 / $152.56	Professional		$61.32	$101.44	$152.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.90 / $58.62 / $86.19	Professional	26	$37.90	$58.62	$86.19
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $36.07 / $63.16 / $484.67	Facility	26	$36.07	$63.16	$484.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.06 / $92.80 / $123.29	Professional		$42.06	$92.80	$123.29
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $36.07 / $61.62 / $74.84	Professional	26	$36.07	$61.62	$74.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $68.73 / $151.62	Professional		$9.98	$68.73	$151.62
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $43.12 / $54.98 / $58.29	Facility	26	$43.12	$54.98	$58.29
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $34.17 / $50.15 / $57.64	Professional	26	$34.17	$50.15	$57.64
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $38.04 / $38.04 / $39.76	Facility	26	$38.04	$38.04	$39.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.62 / $112.82 / $138.72	Professional		$69.62	$112.82	$138.72
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.53 / $66.31 / $81.55	Professional	26	$41.53	$66.31	$81.55
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $330.42 / $330.42 / $541.59	Facility	26	$330.42	$330.42	$541.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $96.67 / $131.05	Professional		$65.59	$96.67	$131.05
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $38.81 / $57.19 / $77.04	Professional	26	$38.81	$57.19	$77.04
United Facility/Professional Professional Modifier Low / Median / High Price $60.28 / $105.47 / $140.97	Professional		$60.28	$105.47	$140.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.78 / $59.33 / $83.03	Professional	26	$36.78	$59.33	$83.03