Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.82 / $115.13 / $189.95	Facility	26	$58.82	$115.13	$189.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.75 / $174.99 / $385.99	Professional		$107.75	$174.99	$385.99
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $120.00 / $245.13 / $245.13	Facility	26	$120.00	$245.13	$245.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $167.24 / $289.52 / $3,099.85	Professional		$167.24	$289.52	$3,099.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.91 / $263.79 / $444.62	Professional		$146.91	$263.79	$444.62
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $53.50 / $118.24 / $13,984.77	Facility	26	$53.50	$118.24	$13,984.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.84 / $299.99 / $584.42	Professional		$143.84	$299.99	$584.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.67 / $102.70 / $228.88	Professional		$21.67	$102.70	$228.88
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $86.35 / $102.69 / $106.76	Facility	26	$86.35	$102.69	$106.76
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $71.56 / $71.56 / $71.75	Facility	26	$71.56	$71.56	$71.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.10 / $284.36 / $346.32	Professional		$186.10	$284.36	$346.32
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $9,254.52 / $9,254.52 / $14,373.77	Facility	26	$9,254.52	$9,254.52	$14,373.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $167.24 / $250.50 / $358.68	Professional		$167.24	$250.50	$358.68
United Facility/Professional Professional Modifier Low / Median / High Price $132.44 / $225.17 / $414.61	Professional		$132.44	$225.17	$414.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.27 / $134.27 / $134.27	Professional		$134.27	$134.27	$134.27