Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.01 / $44.14 / $78.39	Facility	26	$27.01	$44.14	$78.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.34 / $169.64 / $278.92	Professional		$104.34	$169.64	$278.92
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $109.00 / $109.00	Facility	26	$100.00	$109.00	$109.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $178.06 / $334.96 / $1,175.55	Professional		$178.06	$334.96	$1,175.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.22 / $183.34 / $423.53	Professional		$77.22	$183.34	$423.53
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $18.41 / $38.65 / $1,002.46	Facility	26	$18.41	$38.65	$1,002.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $129.72 / $361.00	Professional		$37.50	$129.72	$361.00
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 $28.50 / $38.50 / $47.57	Facility	26	$28.50	$38.50	$47.57
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $31.71 / $31.71 / $31.99	Facility	26	$31.71	$31.71	$31.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.68 / $319.45 / $381.48	Professional		$199.68	$319.45	$381.48
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 $192.19 / $278.80 / $380.56	Professional		$192.19	$278.80	$380.56
United Facility/Professional Professional Modifier Low / Median / High Price $78.38 / $162.58 / $391.41	Professional		$78.38	$162.58	$391.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $154.46 / $154.46 / $154.46	Professional		$154.46	$154.46	$154.46