Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $124.41 / $244.44 / $399.41	Facility	26	$124.41	$244.44	$399.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.62 / $475.00 / $901.05	Professional		$342.62	$475.00	$901.05
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $446.45 / $1,031.35 / $1,031.35	Facility	26	$446.45	$1,031.35	$1,031.35
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $407.95 / $688.74 / $3,148.28	Professional		$407.95	$688.74	$3,148.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.33 / $590.91 / $1,003.00	Professional		$306.33	$590.91	$1,003.00
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $110.76 / $249.38 / $635.38	Facility	26	$110.76	$249.38	$635.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $336.97 / $706.01 / $1,134.23	Professional		$336.97	$706.01	$1,134.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.08 / $248.09 / $578.88	Professional		$48.08	$248.09	$578.88
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $179.30 / $216.59 / $221.10	Facility	26	$179.30	$216.59	$221.10
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $148.13 / $148.13 / $148.97	Facility	26	$148.13	$148.13	$148.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $447.97 / $675.59 / $827.11	Professional		$447.97	$675.59	$827.11
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 $407.95 / $593.74 / $858.08	Professional		$407.95	$593.74	$858.08
United Facility/Professional Professional Modifier Low / Median / High Price $276.39 / $460.92 / $881.60	Professional		$276.39	$460.92	$881.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $317.39 / $317.39 / $317.39	Professional		$317.39	$317.39	$317.39