Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.66 / $184.77 / $355.81	Facility	26	$112.66	$184.77	$355.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.44 / $269.10 / $574.63	Professional		$165.44	$269.10	$574.63
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $134.82 / $346.39 / $454.15	Facility	26	$134.82	$346.39	$454.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $349.15 / $631.91 / $2,186.55	Professional		$349.15	$631.91	$2,186.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.94 / $458.53 / $790.22	Professional		$225.94	$458.53	$790.22
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $102.55 / $205.97 / $316.52	Facility	26	$102.55	$205.97	$316.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.63 / $401.48 / $625.91	Professional		$204.63	$401.48	$625.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.96 / $251.57 / $596.50	Professional		$46.96	$251.57	$596.50
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $142.59 / $193.12 / $197.65	Facility	26	$142.59	$193.12	$197.65
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $139.65 / $139.65 / $143.21	Professional		$139.65	$139.65	$143.21
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $134.09 / $134.09 / $134.82	Facility	26	$134.09	$134.09	$134.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $364.67 / $585.89 / $707.17	Professional		$364.67	$585.89	$707.17
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $346.39 / $346.39 / $851.78	Facility	26	$346.39	$346.39	$851.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $360.82 / $502.26 / $661.62	Professional		$360.82	$502.26	$661.62
United Facility/Professional Professional Modifier Low / Median / High Price $207.77 / $252.63 / $655.87	Professional		$207.77	$252.63	$655.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $215.06 / $294.54 / $294.54	Professional		$215.06	$294.54	$294.54