Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.13 / $115.23 / $188.98	Facility	26	$56.13	$115.23	$188.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.66 / $509.57 / $937.36	Professional		$307.66	$509.57	$937.36
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $75.20 / $460.70 / $657.04	Facility	26	$75.20	$460.70	$657.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $607.99 / $1,045.70 / $3,832.13	Professional		$607.99	$1,045.70	$3,832.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $547.33 / $863.48 / $1,445.50	Professional		$547.33	$863.48	$1,445.50
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $52.39 / $118.52 / $1,073.72	Facility	26	$52.39	$118.52	$1,073.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $458.49 / $835.47 / $1,326.21	Professional		$458.49	$835.47	$1,326.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.85 / $406.58 / $1,034.58	Professional		$78.85	$406.58	$1,034.58
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $75.95 / $103.85 / $113.23	Facility	26	$75.95	$103.85	$113.23
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $75.20 / $75.20 / $77.23	Facility	26	$75.20	$75.20	$77.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $678.60 / $1,008.52 / $1,217.70	Professional		$678.60	$1,008.52	$1,217.70
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $657.04 / $657.04 / $1,088.88	Facility	26	$657.04	$657.04	$1,088.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $607.99 / $915.52 / $1,211.24	Professional		$607.99	$915.52	$1,211.24
United Facility/Professional Professional Modifier Low / Median / High Price $390.42 / $593.23 / $1,146.42	Professional		$390.42	$593.23	$1,146.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $519.71 / $519.71 / $519.71	Professional		$519.71	$519.71	$519.71