Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.82 / $54.56 / $90.45	Facility	26	$27.82	$54.56	$90.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.67 / $65.98 / $145.63	Professional		$51.67	$65.98	$145.63
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $113.82 / $113.82	Facility	26	$100.00	$113.82	$113.82
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $80.95 / $142.79 / $513.60	Professional		$80.95	$142.79	$513.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.67 / $109.08 / $189.26	Professional		$58.67	$109.08	$189.26
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $24.71 / $56.09 / $1,368.97	Facility	26	$24.71	$56.09	$1,368.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.94 / $119.38 / $156.13	Professional		$56.94	$119.38	$156.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $66.35 / $148.23	Professional		$13.30	$66.35	$148.23
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $40.15 / $48.47 / $50.25	Facility	26	$40.15	$48.47	$50.25
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $33.36 / $33.36 / $33.52	Facility	26	$33.36	$33.36	$33.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.79 / $138.55 / $167.78	Professional		$92.79	$138.55	$167.78
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $782.93 / $782.93 / $936.81	Facility	26	$782.93	$782.93	$936.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $83.62 / $122.62 / $163.25	Professional		$83.62	$122.62	$163.25
United Facility/Professional Professional Modifier Low / Median / High Price $60.27 / $71.69 / $165.04	Professional		$60.27	$71.69	$165.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.34 / $67.34 / $67.34	Professional		$67.34	$67.34	$67.34