Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.90 / $180.74 / $318.68	Facility	26	$95.90	$180.74	$318.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.50 / $236.27 / $746.46	Professional		$133.50	$236.27	$746.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.16 / $301.41 / $376.76	Professional		$141.16	$301.41	$376.76
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $114.71 / $379.97 / $379.97	Facility	26	$114.71	$379.97	$379.97
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $267.04 / $482.60 / $1,636.28	Professional		$267.04	$482.60	$1,636.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.70 / $362.19 / $613.59	Professional		$217.70	$362.19	$613.59
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $85.56 / $173.89 / $229.81	Facility	26	$85.56	$173.89	$229.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.33 / $411.95 / $542.14	Professional		$199.33	$411.95	$542.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.48 / $186.70 / $424.37	Professional		$32.48	$186.70	$424.37
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $138.00 / $166.57 / $175.44	Facility	26	$138.00	$166.57	$175.44
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $114.61 / $114.61 / $114.71	Facility	26	$114.61	$114.61	$114.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.41 / $438.32 / $538.95	Professional		$296.41	$438.32	$538.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $267.04 / $380.71 / $516.46	Professional		$267.04	$380.71	$516.46
United Facility/Professional Professional Modifier Low / Median / High Price $202.46 / $220.11 / $528.24	Professional		$202.46	$220.11	$528.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $212.85 / $212.85 / $212.85	Professional		$212.85	$212.85	$212.85