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 $333.84 / $475.00 / $837.96	Professional		$333.84	$475.00	$837.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $497.96 / $497.96 / $497.96	Professional		$497.96	$497.96	$497.96
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $717.20 / $717.20 / $717.20	Facility	26	$717.20	$717.20	$717.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $383.46 / $664.37 / $3,348.15	Professional		$383.46	$664.37	$3,348.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.51 / $610.49 / $1,034.43	Professional		$296.51	$610.49	$1,034.43
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 $408.59 / $728.43 / $1,349.88	Professional		$408.59	$728.43	$1,349.88
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 $103.74 / $103.74 / $103.74	Facility	26	$103.74	$103.74	$103.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.74 / $639.37 / $811.51	Professional		$423.74	$639.37	$811.51
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 $383.46 / $561.90 / $842.32	Professional		$383.46	$561.90	$842.32
United Facility/Professional Professional Modifier Low / Median / High Price $263.20 / $519.63 / $866.38	Professional		$263.20	$519.63	$866.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $304.85 / $304.85 / $304.85	Professional		$304.85	$304.85	$304.85