Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.22 / $65.77 / $108.74	Facility	26	$25.22	$65.77	$108.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.12 / $64.84 / $208.62	Professional		$44.12	$64.84	$208.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.78 / $27.33 / $82.68	Professional	26	$20.78	$27.33	$82.68
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $51.64 / $113.10 / $113.10	Facility	26	$51.64	$113.10	$113.10
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $65.76 / $115.37 / $497.00	Professional		$65.76	$115.37	$497.00
Asuris Northwest Health Facility/Professional Professional Modifier 26 Low / Median / High Price $31.20 / $55.29 / $320.31	Professional	26	$31.20	$55.29	$320.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $100.39 / $160.47	Professional		$64.41	$100.39	$160.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.15 / $43.99 / $69.52	Professional	26	$28.15	$43.99	$69.52
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $27.90 / $51.52 / $86.73	Facility	26	$27.90	$51.52	$86.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.16 / $120.90 / $163.69	Professional		$67.16	$120.90	$163.69
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $27.90 / $51.28 / $68.14	Professional	26	$27.90	$51.28	$68.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $53.27 / $92.54	Professional		$9.15	$53.27	$92.54
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $36.29 / $44.22 / $58.96	Facility	26	$36.29	$44.22	$58.96
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $36.18 / $44.22 / $58.96	Professional	26	$36.18	$44.22	$58.96
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $29.45 / $29.45 / $30.16	Facility	26	$29.45	$29.45	$30.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $106.75 / $131.22	Professional		$71.65	$106.75	$131.22
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.02 / $51.02 / $61.86	Professional	26	$34.02	$51.02	$61.86
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $211.40 / $211.40 / $385.75	Facility	26	$211.40	$211.40	$385.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.29 / $92.04 / $127.59	Professional		$63.29	$92.04	$127.59
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $30.03 / $43.90 / $59.28	Professional	26	$30.03	$43.90	$59.28
United Facility/Professional Professional Modifier Low / Median / High Price $49.08 / $68.70 / $132.04	Professional		$49.08	$68.70	$132.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.46 / $29.18 / $62.71	Professional	26	$23.46	$29.18	$62.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.72 / $52.72 / $52.72	Professional		$52.72	$52.72	$52.72
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $24.03 / $24.03 / $24.03	Professional	26	$24.03	$24.03	$24.03