Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.79 / $59.76 / $97.92	Facility	26	$30.79	$59.76	$97.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $166.63 / $306.52	Professional		$92.00	$166.63	$306.52
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $122.62 / $122.62	Facility	26	$100.00	$122.62	$122.62
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $168.74 / $330.02 / $1,170.23	Professional		$168.74	$330.02	$1,170.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.44 / $212.95 / $441.20	Professional		$113.44	$212.95	$441.20
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $31.81 / $59.96 / $1,002.46	Facility	26	$31.81	$59.96	$1,002.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.07 / $216.66 / $357.43	Professional		$106.07	$216.66	$357.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.31 / $148.77 / $312.97	Professional		$29.31	$148.77	$312.97
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $40.67 / $53.10 / $54.27	Facility	26	$40.67	$53.10	$54.27
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $36.56 / $36.56 / $36.69	Facility	26	$36.56	$36.56	$36.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.70 / $313.47 / $379.61	Professional		$200.70	$313.47	$379.61
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $714.15 / $714.15 / $851.78	Facility	26	$714.15	$714.15	$851.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $190.81 / $277.43 / $372.50	Professional		$190.81	$277.43	$372.50
United Facility/Professional Professional Modifier Low / Median / High Price $110.04 / $152.09 / $371.97	Professional		$110.04	$152.09	$371.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.40 / $151.40 / $151.40	Professional		$151.40	$151.40	$151.40