Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.94 / $156.69 / $255.77	Facility	26	$77.94	$156.69	$255.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $564.64 / $1,108.25	Professional		$475.00	$564.64	$1,108.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.94 / $140.00 / $204.14	Professional	26	$77.94	$140.00	$204.14
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $93.32 / $661.44 / $661.44	Facility	26	$93.32	$661.44	$661.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $592.75 / $1,020.18 / $3,686.40	Professional		$592.75	$1,020.18	$3,686.40
Asuris Northwest Health Facility/Professional Professional Modifier 26 Low / Median / High Price $101.05 / $165.80 / $577.95	Professional	26	$101.05	$165.80	$577.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.22 / $917.50 / $1,391.90	Professional		$512.22	$917.50	$1,391.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.70 / $146.03 / $212.31	Professional	26	$95.70	$146.03	$212.31
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $87.74 / $146.91 / $184.79	Facility	26	$87.74	$146.91	$184.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $473.63 / $809.10 / $1,119.08	Professional		$473.63	$809.10	$1,119.08
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $88.69 / $151.52 / $186.08	Professional	26	$88.69	$151.52	$186.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $371.17 / $994.87	Professional		$81.59	$371.17	$994.87
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $114.95 / $138.99 / $142.04	Facility	26	$114.95	$138.99	$142.04
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $86.83 / $123.12 / $150.16	Professional	26	$86.83	$123.12	$150.16
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $93.32 / $93.32 / $95.51	Facility	26	$93.32	$93.32	$95.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $600.23 / $978.52 / $1,195.99	Professional		$600.23	$978.52	$1,195.99
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $101.05 / $159.32 / $195.90	Professional	26	$101.05	$159.32	$195.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $592.75 / $838.84 / $1,129.90	Professional		$592.75	$838.84	$1,129.90
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $95.17 / $137.40 / $185.07	Professional	26	$95.17	$137.40	$185.07
United Facility/Professional Professional Modifier Low / Median / High Price $370.42 / $493.91 / $1,304.65	Professional		$370.42	$493.91	$1,304.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.50 / $74.36 / $198.54	Professional	26	$63.50	$74.36	$198.54