Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.24 / $54.56 / $93.09	Facility	26	$28.24	$54.56	$93.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.52 / $155.21 / $348.87	Professional		$92.52	$155.21	$348.87
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $277.13 / $277.13	Facility	26	$100.00	$277.13	$277.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $142.30 / $249.30 / $2,945.80	Professional		$142.30	$249.30	$2,945.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.85 / $221.38 / $382.87	Professional		$126.85	$221.38	$382.87
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $25.11 / $56.09 / $13,984.77	Facility	26	$25.11	$56.09	$13,984.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.52 / $255.71 / $495.69	Professional		$119.52	$255.71	$495.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.62 / $110.49 / $296.23	Professional		$23.62	$110.49	$296.23
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $41.20 / $49.13 / $51.59	Facility	26	$41.20	$49.13	$51.59
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $33.52 / $33.52 / $34.28	Facility	26	$33.52	$33.52	$34.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.54 / $244.97 / $303.26	Professional		$160.54	$244.97	$303.26
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 $142.30 / $216.27 / $312.70	Professional		$142.30	$216.27	$312.70
United Facility/Professional Professional Modifier Low / Median / High Price $116.59 / $182.00 / $357.19	Professional		$116.59	$182.00	$357.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.90 / $120.90 / $120.90	Professional		$120.90	$120.90	$120.90