Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.09 / $17.82 / $30.30	Facility	26	$9.09	$17.82	$30.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.62 / $39.49 / $80.78	Professional		$28.62	$39.49	$80.78
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $50.00 / $70.00 / $70.00	Facility	26	$50.00	$70.00	$70.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $46.16 / $78.37 / $292.20	Professional		$46.16	$78.37	$292.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.17 / $63.02 / $109.24	Professional		$36.17	$63.02	$109.24
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $10.08 / $18.50 / $236.39	Facility	26	$10.08	$18.50	$236.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.96 / $73.23 / $95.99	Professional		$35.96	$73.23	$95.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $54.75 / $92.98	Professional		$9.15	$54.75	$92.98
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $13.19 / $15.78 / $16.75	Facility	26	$13.19	$15.78	$16.75
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $10.87 / $10.87 / $10.97	Facility	26	$10.87	$10.87	$10.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.10 / $76.98 / $94.67	Professional		$51.10	$76.98	$94.67
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $156.94 / $156.94 / $209.36	Facility	26	$156.94	$156.94	$209.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $69.06 / $94.73	Professional		$47.63	$69.06	$94.73
United Facility/Professional Professional Modifier Low / Median / High Price $25.56 / $36.86 / $100.44	Professional		$25.56	$36.86	$100.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.44 / $39.44 / $39.44	Professional		$39.44	$39.44	$39.44