Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.51 / $33.69 / $65.33	Facility	26	$20.51	$33.69	$65.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $114.09 / $206.45	Professional		$71.84	$114.09	$206.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.29 / $169.29 / $169.29	Professional		$169.29	$169.29	$169.29
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $122.66 / $235.38 / $812.10	Professional		$122.66	$235.38	$812.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $150.74 / $306.04	Professional		$80.45	$150.74	$306.04
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $17.67 / $40.18 / $635.38	Facility	26	$17.67	$40.18	$635.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.15 / $156.94 / $252.65	Professional		$74.15	$156.94	$252.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $108.67 / $185.47	Professional		$18.30	$108.67	$185.47
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $26.95 / $35.57 / $36.18	Facility	26	$26.95	$35.57	$36.18
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $24.46 / $24.46 / $24.68	Facility	26	$24.46	$24.46	$24.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.10 / $220.98 / $267.51	Professional		$142.10	$220.98	$267.51
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $446.45 / $446.45 / $782.93	Facility	26	$446.45	$446.45	$782.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $135.83 / $192.49 / $263.69	Professional		$135.83	$192.49	$263.69
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.36 / $273.61	Professional		$79.43	$107.36	$273.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.41 / $104.41 / $104.41	Professional		$104.41	$104.41	$104.41