Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.49 / $45.75 / $224.80	Facility	26	$27.49	$45.75	$224.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.50 / $74.66 / $137.80	Professional		$53.50	$74.66	$137.80
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $33.82 / $104.46 / $104.46	Facility	26	$33.82	$104.46	$104.46
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $84.55 / $150.61 / $530.85	Professional		$84.55	$150.61	$530.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.18 / $110.64 / $196.93	Professional		$63.18	$110.64	$196.93
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $27.01 / $48.34 / $64.12	Facility	26	$27.01	$48.34	$64.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.72 / $118.10 / $159.93	Professional		$63.72	$118.10	$159.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $53.74 / $92.91	Professional		$9.15	$53.74	$92.91
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $37.93 / $45.56 / $49.58	Facility	26	$37.93	$45.56	$49.58
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $32.61 / $32.61 / $33.82	Facility	26	$32.61	$32.61	$33.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.34 / $141.03 / $173.40	Professional		$94.34	$141.03	$173.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $84.55 / $121.62 / $163.82	Professional		$84.55	$121.62	$163.82
United Facility/Professional Professional Modifier Low / Median / High Price $60.23 / $68.20 / $164.50	Professional		$60.23	$68.20	$164.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $67.20 / $67.20	Professional		$67.20	$67.20	$67.20