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 $366.99 / $460.11 / $1,057.60	Professional		$366.99	$460.11	$1,057.60
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $714.15 / $720.40 / $720.40	Facility	26	$714.15	$720.40	$720.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $476.56 / $825.64 / $3,350.26	Professional		$476.56	$825.64	$3,350.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.23 / $729.69 / $1,208.98	Professional		$369.23	$729.69	$1,208.98
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 $433.69 / $866.01 / $1,409.63	Professional		$433.69	$866.01	$1,409.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.30 / $319.84 / $770.81	Professional		$73.30	$319.84	$770.81
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $125.32 / $150.53 / $155.44	Facility	26	$125.32	$150.53	$155.44
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $345.93 / $345.93 / $345.93	Professional		$345.93	$345.93	$345.93
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $104.19 / $104.19 / $104.20	Facility	26	$104.19	$104.19	$104.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.66 / $805.51 / $992.73	Professional		$537.66	$805.51	$992.73
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 $486.02 / $707.92 / $1,050.10	Professional		$486.02	$707.92	$1,050.10
United Facility/Professional Professional Modifier Low / Median / High Price $336.82 / $525.15 / $1,081.52	Professional		$336.82	$525.15	$1,081.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $385.35 / $385.35 / $385.35	Professional		$385.35	$385.35	$385.35