Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.82 / $116.96 / $190.46	Facility	26	$59.82	$116.96	$190.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.23 / $158.26 / $395.42	Professional		$111.23	$158.26	$395.42
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $120.00 / $243.24 / $243.24	Facility	26	$120.00	$243.24	$243.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $173.71 / $303.16 / $3,109.00	Professional		$173.71	$303.16	$3,109.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.29 / $266.86 / $445.83	Professional		$153.29	$266.86	$445.83
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $52.88 / $119.76 / $8,105.48	Facility	26	$52.88	$119.76	$8,105.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.15 / $305.83 / $574.04	Professional		$144.15	$305.83	$574.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.54 / $110.49 / $296.23	Professional		$24.54	$110.49	$296.23
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $86.35 / $104.47 / $107.44	Facility	26	$86.35	$104.47	$107.44
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 $195.12 / $296.06 / $365.98	Professional		$195.12	$296.06	$365.98
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $5,551.62 / $5,551.62 / $8,401.03	Facility	26	$5,551.62	$5,551.62	$8,401.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $173.71 / $260.19 / $375.24	Professional		$173.71	$260.19	$375.24
United Facility/Professional Professional Modifier Low / Median / High Price $140.38 / $230.09 / $470.95	Professional		$140.38	$230.09	$470.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.61 / $141.61 / $141.61	Professional		$141.61	$141.61	$141.61