Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.07 / $115.99 / $189.27	Facility	26	$59.07	$115.99	$189.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.18 / $188.50 / $282.30	Professional		$108.18	$188.50	$282.30
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $118.00 / $239.19 / $239.19	Facility	26	$118.00	$239.19	$239.19
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $165.40 / $289.77 / $3,401.00	Professional		$165.40	$289.77	$3,401.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.47 / $256.94 / $430.81	Professional		$144.47	$256.94	$430.81
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $51.77 / $117.66 / $3,447.33	Facility	26	$51.77	$117.66	$3,447.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.97 / $301.22 / $554.85	Professional		$141.97	$301.22	$554.85
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 $86.74 / $102.46 / $107.20	Facility	26	$86.74	$102.46	$107.20
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $71.12 / $71.12 / $72.20	Facility	26	$71.12	$71.12	$72.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.80 / $280.31 / $347.26	Professional		$184.80	$280.31	$347.26
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $2,064.48 / $2,064.48 / $2,727.91	Facility	26	$2,064.48	$2,064.48	$2,727.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $165.40 / $246.35 / $361.44	Professional		$165.40	$246.35	$361.44
United Facility/Professional Professional Modifier Low / Median / High Price $133.16 / $213.07 / $404.84	Professional		$133.16	$213.07	$404.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $130.72 / $130.72 / $130.72	Professional		$130.72	$130.72	$130.72