Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.67 / $101.97 / $200.06	Facility	26	$61.67	$101.97	$200.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.80 / $143.28 / $332.92	Professional		$133.80	$143.28	$332.92
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $74.29 / $127.00 / $296.93	Facility	26	$74.29	$127.00	$296.93
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $158.00 / $266.24 / $1,548.00	Professional		$158.00	$266.24	$1,548.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.54 / $238.64 / $352.02	Professional		$158.54	$238.64	$352.02
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $70.45 / $120.35 / $146.38	Facility	26	$70.45	$120.35	$146.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.41 / $250.12 / $347.94	Professional		$146.41	$250.12	$347.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $106.67 / $232.71	Professional		$18.73	$106.67	$232.71
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $84.77 / $107.85 / $111.22	Facility	26	$84.77	$107.85	$111.22
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $74.29 / $74.29 / $74.48	Facility	26	$74.29	$74.29	$74.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.94 / $257.18 / $313.06	Professional		$164.94	$257.18	$313.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $158.00 / $219.57 / $295.76	Professional		$158.00	$219.57	$295.76
United Facility/Professional Professional Modifier Low / Median / High Price $122.53 / $125.99 / $308.16	Professional		$122.53	$125.99	$308.16