Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $46.82 / $96.37	Professional		$28.57	$46.82	$96.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.42 / $8.30 / $18.96	Professional	26	$6.42	$8.30	$18.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $52.67 / $94.64 / $353.55	Professional		$52.67	$94.64	$353.55
Asuris Northwest Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.63 / $18.77 / $67.05	Professional	26	$10.63	$18.77	$67.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $67.69 / $132.83	Professional		$36.29	$67.69	$132.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.00 / $14.05 / $24.35	Professional	26	$8.00	$14.05	$24.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $73.25 / $105.81	Professional		$36.76	$73.25	$105.81
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.46 / $16.93 / $21.43	Professional	26	$8.46	$16.93	$21.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $54.50 / $92.81	Professional		$9.15	$54.50	$92.81
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $10.81 / $13.87 / $16.88	Professional	26	$10.81	$13.87	$16.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.62 / $92.95 / $114.35	Professional		$60.62	$92.95	$114.35
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.87 / $18.12 / $22.50	Professional	26	$11.87	$18.12	$22.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $52.67 / $80.20 / $109.58	Professional		$52.67	$80.20	$109.58
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $11.21 / $16.10 / $21.56	Professional	26	$11.21	$16.10	$21.56
United Facility/Professional Professional Modifier Low / Median / High Price $35.03 / $46.24 / $119.72	Professional		$35.03	$46.24	$119.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $9.02 / $21.19	Professional	26	$7.94	$9.02	$21.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.99 / $46.99 / $46.99	Professional		$46.99	$46.99	$46.99
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $8.44 / $8.44 / $8.44	Professional	26	$8.44	$8.44	$8.44