Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.29 / $171.68 / $280.62	Facility	26	$87.29	$171.68	$280.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.13 / $475.00 / $856.29	Professional		$329.13	$475.00	$856.29
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $714.15 / $717.20 / $717.20	Facility	26	$714.15	$717.20	$717.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $389.49 / $667.17 / $3,348.15	Professional		$389.49	$667.17	$3,348.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.64 / $598.21 / $1,019.20	Professional		$299.64	$598.21	$1,019.20
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $85.05 / $173.58 / $1,102.78	Facility	26	$85.05	$173.58	$1,102.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $387.52 / $702.54 / $1,349.06	Professional		$387.52	$702.54	$1,349.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $268.38 / $603.77	Professional		$56.10	$268.38	$603.77
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $124.85 / $150.53 / $155.44	Facility	26	$124.85	$150.53	$155.44
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $268.35 / $268.35 / $268.35	Professional		$268.35	$268.35	$268.35
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $103.28 / $103.28 / $103.74	Facility	26	$103.28	$103.28	$103.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $433.54 / $651.97 / $830.23	Professional		$433.54	$651.97	$830.23
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $714.15 / $714.15 / $1,538.06	Facility	26	$714.15	$714.15	$1,538.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $391.78 / $572.98 / $837.85	Professional		$391.78	$572.98	$837.85
United Facility/Professional Professional Modifier Low / Median / High Price $267.50 / $469.81 / $886.41	Professional		$267.50	$469.81	$886.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $310.37 / $310.37 / $310.37	Professional		$310.37	$310.37	$310.37