Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $103.83 / $172.61 / $306.54	Facility	26	$103.83	$172.61	$306.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.28 / $233.74 / $419.56	Professional		$155.28	$233.74	$419.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.34 / $94.12 / $189.63	Professional	26	$49.34	$94.12	$189.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.93 / $179.19 / $179.19	Professional	26	$52.93	$179.19	$179.19
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $193.27 / $423.87 / $423.87	Facility	26	$193.27	$423.87	$423.87
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $234.23 / $406.09 / $3,093.52	Professional		$234.23	$406.09	$3,093.52
Asuris Northwest Health Facility/Professional Professional Modifier 26 Low / Median / High Price $111.30 / $216.79 / $770.10	Professional	26	$111.30	$216.79	$770.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.48 / $342.48 / $576.22	Professional		$176.48	$342.48	$576.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.78 / $128.76 / $275.11	Professional	26	$62.78	$128.76	$275.11
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $57.80 / $123.04 / $13,984.77	Facility	26	$57.80	$123.04	$13,984.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.02 / $330.31 / $603.62	Professional		$168.02	$330.31	$603.62
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $51.62 / $116.45 / $225.12	Professional	26	$51.62	$116.45	$225.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.04 / $157.43 / $360.43	Professional		$29.04	$157.43	$360.43
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $90.06 / $178.19 / $186.26	Facility	26	$90.06	$178.19	$186.26
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $74.26 / $104.15 / $189.89	Professional	26	$74.26	$104.15	$189.89
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $124.58 / $124.58 / $126.13	Facility	26	$124.58	$124.58	$126.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $264.81 / $400.79 / $488.27	Professional		$264.81	$400.79	$488.27
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $135.21 / $213.62 / $262.75	Professional	26	$135.21	$213.62	$262.75
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 $234.23 / $348.81 / $472.86	Professional		$234.23	$348.81	$472.86
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $127.05 / $189.06 / $258.97	Professional	26	$127.05	$189.06	$258.97
United Facility/Professional Professional Modifier Low / Median / High Price $186.37 / $254.81 / $513.91	Professional		$186.37	$254.81	$513.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.79 / $104.37 / $265.99	Professional	26	$58.79	$104.37	$265.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $188.18 / $188.18 / $188.18	Professional		$188.18	$188.18	$188.18
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $96.86 / $96.86 / $96.86	Professional	26	$96.86	$96.86	$96.86