Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.12 / $58.32 / $98.95	Facility	26	$30.12	$58.32	$98.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.12 / $60.57 / $258.00	Professional		$44.12	$60.57	$258.00
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $62.48 / $118.08 / $118.08	Facility	26	$62.48	$118.08	$118.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $68.38 / $125.41 / $413.33	Professional		$68.38	$125.41	$413.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.52 / $92.44 / $153.88	Professional		$56.52	$92.44	$153.88
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $26.35 / $57.06 / $95.47	Facility	26	$26.35	$57.06	$95.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.46 / $102.27 / $137.36	Professional		$51.46	$102.27	$137.36
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 $42.89 / $51.82 / $54.40	Facility	26	$42.89	$51.82	$54.40
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $35.65 / $35.65 / $35.79	Facility	26	$35.65	$35.65	$35.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.88 / $111.85 / $136.85	Professional		$75.88	$111.85	$136.85
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 $68.38 / $97.33 / $131.13	Professional		$68.38	$97.33	$131.13
United Facility/Professional Professional Modifier Low / Median / High Price $49.81 / $58.36 / $134.01	Professional		$49.81	$58.36	$134.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.38 / $53.38 / $53.38	Professional		$53.38	$53.38	$53.38