Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.49 / $60.01 / $98.44	Facility	26	$31.49	$60.01	$98.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.42 / $166.90 / $295.68	Professional		$92.42	$166.90	$295.68
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 $175.49 / $321.77 / $1,109.09	Professional		$175.49	$321.77	$1,109.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.14 / $210.63 / $418.27	Professional		$113.14	$210.63	$418.27
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $26.97 / $59.96 / $1,002.46	Facility	26	$26.97	$59.96	$1,002.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.07 / $211.87 / $341.82	Professional		$106.07	$211.87	$341.82
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 $44.51 / $53.33 / $55.61	Facility	26	$44.51	$53.33	$55.61
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $37.02 / $37.02 / $37.15	Facility	26	$37.02	$37.02	$37.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.42 / $297.48 / $365.57	Professional		$196.42	$297.48	$365.57
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 $185.72 / $265.73 / $360.35	Professional		$185.72	$265.73	$360.35
United Facility/Professional Professional Modifier Low / Median / High Price $112.11 / $143.31 / $355.58	Professional		$112.11	$143.31	$355.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $143.63 / $143.63 / $143.63	Professional		$143.63	$143.63	$143.63