Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.31 / $149.04 / $230.84	Facility	26	$74.31	$149.04	$230.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.87 / $118.54 / $221.76	Professional		$104.87	$118.54	$221.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.95 / $74.31 / $176.66	Professional	26	$58.95	$74.31	$176.66
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $88.34 / $141.09 / $305.79	Facility	26	$88.34	$141.09	$305.79
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $129.29 / $219.77 / $1,748.00	Professional		$129.29	$219.77	$1,748.00
Asuris Northwest Health Facility/Professional Professional Modifier 26 Low / Median / High Price $95.61 / $164.34 / $554.54	Professional	26	$95.61	$164.34	$554.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.05 / $196.81 / $293.42	Professional		$120.05	$196.81	$293.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.05 / $138.94 / $203.66	Professional	26	$88.05	$138.94	$203.66
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $78.31 / $134.97 / $169.05	Facility	26	$78.31	$134.97	$169.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.19 / $189.95 / $318.89	Professional		$111.19	$189.95	$318.89
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $81.48 / $139.19 / $170.64	Professional	26	$81.48	$139.19	$170.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $73.20 / $159.02	Professional		$11.95	$73.20	$159.02
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $98.49 / $129.31 / $134.00	Facility	26	$98.49	$129.31	$134.00
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $76.78 / $111.05 / $133.78	Professional	26	$76.78	$111.05	$133.78
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $88.34 / $88.34 / $91.40	Facility	26	$88.34	$88.34	$91.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.12 / $212.29 / $265.26	Professional		$133.12	$212.29	$265.26
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $94.08 / $152.27 / $187.46	Professional	26	$94.08	$152.27	$187.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $126.13 / $185.56 / $250.60	Professional		$126.13	$185.56	$250.60
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $90.09 / $131.47 / $177.10	Professional	26	$90.09	$131.47	$177.10
United Facility/Professional Professional Modifier Low / Median / High Price $94.20 / $104.01 / $265.06	Professional		$94.20	$104.01	$265.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.31 / $73.81 / $181.73	Professional	26	$67.31	$73.81	$181.73