Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.28 / $55.56 / $84.91	Facility	26	$43.28	$55.56	$84.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $126.94 / $281.45	Professional		$96.60	$126.94	$281.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.17 / $39.72 / $81.55	Professional	26	$20.17	$39.72	$81.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.20 / $61.35 / $67.00	Professional	26	$21.20	$61.35	$67.00
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $172.60 / $172.60	Facility	26	$100.00	$172.60	$172.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $160.66 / $302.86 / $1,048.20	Professional		$160.66	$302.86	$1,048.20
Asuris Northwest Health Facility/Professional Professional Modifier 26 Low / Median / High Price $46.74 / $89.80 / $313.43	Professional	26	$46.74	$89.80	$313.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.71 / $195.98 / $392.37	Professional		$106.71	$195.98	$392.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.61 / $53.47 / $113.24	Professional	26	$25.61	$53.47	$113.24
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $27.73 / $51.96 / $490.69	Facility	26	$27.73	$51.96	$490.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.63 / $214.26 / $328.21	Professional		$102.63	$214.26	$328.21
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $25.13 / $50.11 / $92.47	Professional	26	$25.13	$50.11	$92.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $110.49 / $296.23	Professional		$23.90	$110.49	$296.23
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $38.76 / $73.15 / $77.52	Facility	26	$38.76	$73.15	$77.52
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $78.25 / $78.25 / $78.25	Professional		$78.25	$78.25	$78.25
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $31.74 / $44.22 / $77.72	Professional	26	$31.74	$44.22	$77.72
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $51.64 / $51.64 / $51.64	Facility	26	$51.64	$51.64	$51.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.54 / $287.04 / $344.45	Professional		$185.54	$287.04	$344.45
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.05 / $87.46 / $107.58	Professional	26	$55.05	$87.46	$107.58
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $346.39 / $346.39 / $385.75	Facility	26	$346.39	$346.39	$385.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $173.71 / $250.03 / $339.12	Professional		$173.71	$250.03	$339.12
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $52.67 / $77.41 / $106.04	Professional	26	$52.67	$77.41	$106.04
United Facility/Professional Professional Modifier Low / Median / High Price $104.55 / $138.66 / $337.01	Professional		$104.55	$138.66	$337.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.34 / $45.13 / $108.30	Professional	26	$24.34	$45.13	$108.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $136.83 / $136.83 / $136.83	Professional		$136.83	$136.83	$136.83
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $39.88 / $39.88 / $39.88	Professional	26	$39.88	$39.88	$39.88