Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.07 / $59.01 / $98.57	Facility	26	$31.07	$59.01	$98.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.26 / $147.10 / $303.24	Professional		$111.26	$147.10	$303.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.27 / $31.07 / $65.48	Professional	26	$23.27	$31.07	$65.48
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $137.78 / $137.78	Facility	26	$100.00	$137.78	$137.78
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $156.16 / $301.16 / $963.76	Professional		$156.16	$301.16	$963.76
Asuris Northwest Health Facility/Professional Professional Modifier 26 Low / Median / High Price $38.81 / $70.89 / $257.39	Professional	26	$38.81	$70.89	$257.39
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $153.22 / $216.13 / $356.35	Professional	50	$153.22	$216.13	$356.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.97 / $215.19 / $360.23	Professional		$120.97	$215.19	$360.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.47 / $50.14 / $91.32	Professional	26	$28.47	$50.14	$91.32
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $27.84 / $60.68 / $1,002.46	Facility	26	$27.84	$60.68	$1,002.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.00 / $246.42 / $341.28	Professional		$124.00	$246.42	$341.28
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $26.90 / $57.74 / $77.11	Professional	26	$26.90	$57.74	$77.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.62 / $110.49 / $296.23	Professional		$23.62	$110.49	$296.23
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $45.60 / $54.94 / $60.97	Facility	26	$45.60	$54.94	$60.97
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $33.52 / $47.31 / $58.00	Professional	26	$33.52	$47.31	$58.00
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $38.04 / $38.04 / $41.59	Facility	26	$38.04	$38.04	$41.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.99 / $280.29 / $366.72	Professional		$192.99	$280.29	$366.72
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.09 / $68.48 / $85.29	Professional	26	$46.09	$68.48	$85.29
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 $206.51 / $253.92 / $361.80	Professional		$206.51	$253.92	$361.80
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $41.24 / $59.82 / $81.73	Professional	26	$41.24	$59.82	$81.73
United Facility/Professional Professional Modifier Low / Median / High Price $121.56 / $146.32 / $364.81	Professional		$121.56	$146.32	$364.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.76 / $33.54 / $81.03	Professional	26	$28.76	$33.54	$81.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.26 / $123.26 / $123.26	Professional		$123.26	$123.26	$123.26
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $31.82 / $31.82 / $31.82	Professional	26	$31.82	$31.82	$31.82