Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.49 / $184.30 / $903.38	Facility	26	$112.49	$184.30	$903.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.49 / $475.00 / $717.96	Professional		$324.49	$475.00	$717.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $267.04 / $267.04 / $267.04	Professional		$267.04	$267.04	$267.04
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $931.68 / $931.68 / $931.68	Facility	26	$931.68	$931.68	$931.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $487.33 / $836.14 / $2,979.98	Professional		$487.33	$836.14	$2,979.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.82 / $689.42 / $1,125.16	Professional		$363.82	$689.42	$1,125.16
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $117.81 / $209.85 / $274.13	Facility	26	$117.81	$209.85	$274.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $413.48 / $814.09 / $1,055.58	Professional		$413.48	$814.09	$1,055.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.39 / $304.31 / $745.78	Professional		$66.39	$304.31	$745.78
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $162.25 / $196.08 / $198.99	Facility	26	$162.25	$196.08	$198.99
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $133.63 / $133.63 / $134.82	Facility	26	$133.63	$133.63	$134.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $543.34 / $801.99 / $986.27	Professional		$543.34	$801.99	$986.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $490.64 / $716.91 / $977.80	Professional		$490.64	$716.91	$977.80
United Facility/Professional Professional Modifier Low / Median / High Price $335.29 / $661.05 / $1,143.84	Professional		$335.29	$661.05	$1,143.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $389.51 / $389.51 / $389.51	Professional		$389.51	$389.51	$389.51