Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.91 / $69.20 / $119.27	Facility	26	$41.91	$69.20	$119.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.72 / $115.31 / $257.19	Professional		$83.72	$115.31	$257.19
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $51.18 / $169.56 / $169.56	Facility	26	$51.18	$169.56	$169.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $134.44 / $239.04 / $820.20	Professional		$134.44	$239.04	$820.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.26 / $184.56 / $294.88	Professional		$105.26	$184.56	$294.88
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $34.65 / $67.81 / $89.44	Facility	26	$34.65	$67.81	$89.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.16 / $203.09 / $284.69	Professional		$104.16	$203.09	$284.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.10 / $104.85 / $234.59	Professional		$21.10	$104.85	$234.59
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $56.43 / $67.47 / $75.04	Facility	26	$56.43	$67.47	$75.04
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $50.28 / $50.28 / $51.18	Facility	26	$50.28	$50.28	$51.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.08 / $219.14 / $268.07	Professional		$139.08	$219.14	$268.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $134.44 / $188.01 / $253.25	Professional		$134.44	$188.01	$253.25
United Facility/Professional Professional Modifier Low / Median / High Price $100.69 / $110.19 / $262.58	Professional		$100.69	$110.19	$262.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.13 / $106.22 / $106.22	Professional		$78.13	$106.22	$106.22