Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.18 / $32.56 / $55.55	Facility	26	$16.18	$32.56	$55.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.82 / $118.02 / $236.04	Professional		$62.82	$118.02	$236.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.42 / $16.18 / $36.24	Professional	26	$12.42	$16.18	$36.24
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $141.91 / $141.91 / $141.91	Facility	26	$141.91	$141.91	$141.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $123.89 / $245.41 / $895.13	Professional		$123.89	$245.41	$895.13
Asuris Northwest Health Facility/Professional Professional Modifier 26 Low / Median / High Price $20.32 / $34.90 / $163.46	Professional	26	$20.32	$34.90	$163.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.88 / $160.44 / $327.88	Professional		$80.88	$160.44	$327.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.68 / $27.04 / $45.55	Professional	26	$15.68	$27.04	$45.55
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $18.35 / $33.35 / $236.39	Facility	26	$18.35	$33.35	$236.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.88 / $156.69 / $269.74	Professional		$76.88	$156.69	$269.74
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $16.55 / $32.60 / $40.29	Professional	26	$16.55	$32.60	$40.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.45 / $163.00 / $277.62	Professional		$27.45	$163.00	$277.62
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $24.73 / $29.48 / $30.82	Facility	26	$24.73	$29.48	$30.82
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $18.48 / $25.96 / $33.75	Professional	26	$18.48	$25.96	$33.75
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $19.93 / $19.93 / $20.57	Facility	26	$19.93	$19.93	$20.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.52 / $232.91 / $295.25	Professional		$150.52	$232.91	$295.25
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.71 / $34.29 / $42.18	Professional	26	$22.71	$34.29	$42.18
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $156.94 / $156.94 / $209.36	Facility	26	$156.94	$156.94	$209.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $142.76 / $207.08 / $282.93	Professional		$142.76	$207.08	$282.93
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $21.12 / $30.83 / $41.39	Professional	26	$21.12	$30.83	$41.39
United Facility/Professional Professional Modifier Low / Median / High Price $78.77 / $114.06 / $273.18	Professional		$78.77	$114.06	$273.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.16 / $17.25 / $41.38	Professional	26	$15.16	$17.25	$41.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $119.36 / $119.36 / $119.36	Professional		$119.36	$119.36	$119.36
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $15.69 / $15.69 / $15.69	Professional	26	$15.69	$15.69	$15.69