Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.55 / $49.28 / $80.53	Facility	26	$25.55	$49.28	$80.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.79 / $292.55 / $490.73	Professional		$149.79	$292.55	$490.73
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $30.16 / $100.00 / $297.00	Facility	26	$30.16	$100.00	$297.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $311.67 / $528.05 / $9,009.00	Professional		$311.67	$528.05	$9,009.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.66 / $495.47 / $744.85	Professional		$232.66	$495.47	$744.85
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $21.70 / $48.57 / $59.96	Facility	26	$21.70	$48.57	$59.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.29 / $359.93 / $580.96	Professional		$217.29	$359.93	$580.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.78 / $319.64 / $532.09	Professional		$52.78	$319.64	$532.09
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $35.28 / $43.37 / $46.23	Facility	26	$35.28	$43.37	$46.23
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $30.16 / $30.16 / $30.80	Facility	26	$30.16	$30.16	$30.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.81 / $528.05 / $632.03	Professional		$320.81	$528.05	$632.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $331.72 / $448.34 / $603.91	Professional		$331.72	$448.34	$603.91
United Facility/Professional Professional Modifier Low / Median / High Price $176.43 / $221.95 / $557.08	Professional		$176.43	$221.95	$557.08