Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.30 / $169.20 / $278.27	Facility	26	$85.30	$169.20	$278.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.19 / $456.46 / $912.41	Professional		$322.19	$456.46	$912.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $608.01 / $608.01 / $608.01	Professional		$608.01	$608.01	$608.01
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $446.45 / $710.88 / $710.88	Facility	26	$446.45	$710.88	$710.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $461.87 / $789.23 / $2,996.77	Professional		$461.87	$789.23	$2,996.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.77 / $695.80 / $1,139.45	Professional		$352.77	$695.80	$1,139.45
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $74.70 / $169.46 / $635.38	Facility	26	$74.70	$169.46	$635.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $388.93 / $823.33 / $1,335.07	Professional		$388.93	$823.33	$1,335.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.21 / $300.95 / $745.03	Professional		$66.21	$300.95	$745.03
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $123.75 / $149.19 / $154.10	Facility	26	$123.75	$149.19	$154.10
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $160.34 / $178.16 / $178.16	Professional		$160.34	$178.16	$178.16
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $102.38 / $102.38 / $102.83	Facility	26	$102.38	$102.38	$102.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $513.95 / $770.08 / $936.96	Professional		$513.95	$770.08	$936.96
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $446.45 / $446.45 / $782.93	Facility	26	$446.45	$446.45	$782.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $465.23 / $676.78 / $1,003.92	Professional		$465.23	$676.78	$1,003.92
United Facility/Professional Professional Modifier Low / Median / High Price $320.88 / $492.04 / $1,018.89	Professional		$320.88	$492.04	$1,018.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $368.49 / $368.49 / $368.49	Professional		$368.49	$368.49	$368.49