Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.22 / $126.65 / $620.73	Facility	26	$77.22	$126.65	$620.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.41 / $286.85 / $600.00	Professional		$199.41	$286.85	$600.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $401.71 / $401.71 / $401.71	Professional		$401.71	$401.71	$401.71
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $446.45 / $641.60 / $641.60	Facility	26	$446.45	$641.60	$641.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $310.00 / $525.96 / $1,884.08	Professional		$310.00	$525.96	$1,884.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.78 / $433.91 / $712.00	Professional		$228.78	$433.91	$712.00
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $81.41 / $152.44 / $205.31	Facility	26	$81.41	$152.44	$205.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $265.26 / $497.86 / $662.38	Professional		$265.26	$497.86	$662.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.39 / $183.40 / $440.21	Professional		$38.39	$183.40	$440.21
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $111.58 / $134.09 / $138.02	Facility	26	$111.58	$134.09	$138.02
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $92.77 / $92.77 / $92.87	Facility	26	$92.77	$92.77	$92.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.78 / $515.88 / $624.51	Professional		$341.78	$515.88	$624.51
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $446.45 / $446.45 / $777.03	Facility	26	$446.45	$446.45	$777.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $310.00 / $449.36 / $615.59	Professional		$310.00	$449.36	$615.59
United Facility/Professional Professional Modifier Low / Median / High Price $211.67 / $463.16 / $826.04	Professional		$211.67	$463.16	$826.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $245.28 / $245.28 / $245.28	Professional		$245.28	$245.28	$245.28