Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.86 / $61.33 / $100.50	Facility	26	$30.86	$61.33	$100.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.67 / $87.66 / $271.47	Professional		$59.67	$87.66	$271.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.70 / $126.63 / $145.93	Professional		$102.70	$126.63	$145.93
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $65.20 / $171.77 / $171.77	Facility	26	$65.20	$171.77	$171.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $97.48 / $180.39 / $600.38	Professional		$97.48	$180.39	$600.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.16 / $131.69 / $224.96	Professional		$79.16	$131.69	$224.96
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $30.39 / $59.13 / $98.14	Facility	26	$30.39	$59.13	$98.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.03 / $142.08 / $197.77	Professional		$72.03	$142.08	$197.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $65.14 / $147.48	Professional		$12.62	$65.14	$147.48
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $45.08 / $54.26 / $55.61	Facility	26	$45.08	$54.26	$55.61
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $36.69 / $36.69 / $37.47	Facility	26	$36.69	$36.69	$37.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.74 / $160.08 / $196.83	Professional		$107.74	$160.08	$196.83
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 $97.48 / $138.38 / $188.62	Professional		$97.48	$138.38	$188.62
United Facility/Professional Professional Modifier Low / Median / High Price $70.81 / $81.76 / $190.53	Professional		$70.81	$81.76	$190.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62