Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.08 / $50.23 / $82.14	Facility	26	$26.08	$50.23	$82.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.62 / $107.53 / $199.91	Professional		$73.62	$107.53	$199.91
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $102.96 / $102.96	Facility	26	$100.00	$102.96	$102.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $113.03 / $195.53 / $758.00	Professional		$113.03	$195.53	$758.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.47 / $160.08 / $264.61	Professional		$88.47	$160.08	$264.61
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $27.73 / $51.96 / $290.81	Facility	26	$27.73	$51.96	$290.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.65 / $190.25 / $259.83	Professional		$97.65	$190.25	$259.83
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 $36.85 / $44.67 / $45.56	Facility	26	$36.85	$44.67	$45.56
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $30.62 / $30.62 / $30.80	Facility	26	$30.62	$30.62	$30.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.33 / $192.67 / $233.24	Professional		$127.33	$192.67	$233.24
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $211.40 / $211.40 / $385.75	Facility	26	$211.40	$211.40	$385.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $113.65 / $169.54 / $234.03	Professional		$113.65	$169.54	$234.03
United Facility/Professional Professional Modifier Low / Median / High Price $86.20 / $102.96 / $240.80	Professional		$86.20	$102.96	$240.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $92.73 / $92.73 / $92.73	Professional		$92.73	$92.73	$92.73