Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.15 / $63.03 / $102.88	Facility	26	$32.15	$63.03	$102.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.62 / $126.34 / $456.48	Professional		$59.62	$126.34	$456.48
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $38.51 / $80.00 / $127.16	Facility	26	$38.51	$80.00	$127.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $145.99 / $241.14 / $910.88	Professional		$145.99	$241.14	$910.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.05 / $175.02 / $327.52	Professional		$84.05	$175.02	$327.52
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $28.89 / $50.76 / $72.88	Facility	26	$28.89	$50.76	$72.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.11 / $153.36 / $262.55	Professional		$86.11	$153.36	$262.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.13 / $97.68 / $224.63	Professional		$21.13	$97.68	$224.63
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $42.63 / $55.37 / $57.62	Facility	26	$42.63	$55.37	$57.62
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $38.51 / $38.51 / $38.85	Facility	26	$38.51	$38.51	$38.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.36 / $237.96 / $286.64	Professional		$163.36	$237.96	$286.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $145.99 / $202.09 / $273.32	Professional		$145.99	$202.09	$273.32
United Facility/Professional Professional Modifier Low / Median / High Price $80.03 / $107.76 / $281.66	Professional		$80.03	$107.76	$281.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.03 / $85.03 / $117.64	Professional		$85.03	$85.03	$117.64