Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.89 / $136.44 / $250.74	Facility	26	$71.89	$136.44	$250.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.49 / $246.10 / $496.61	Professional		$185.49	$246.10	$496.61
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $96.94 / $336.07 / $657.04	Facility	26	$96.94	$336.07	$657.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $328.48 / $571.99 / $2,129.40	Professional		$328.48	$571.99	$2,129.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.75 / $475.23 / $798.00	Professional		$243.75	$475.23	$798.00
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $68.20 / $162.97 / $592.54	Facility	26	$68.20	$162.97	$592.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $231.72 / $426.30 / $647.33	Professional		$231.72	$426.30	$647.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $206.20 / $504.60	Professional		$46.82	$206.20	$504.60
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $100.45 / $141.37 / $146.72	Facility	26	$100.45	$141.37	$146.72
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $96.94 / $96.94 / $100.08	Facility	26	$96.94	$96.94	$100.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $373.71 / $563.34 / $670.35	Professional		$373.71	$563.34	$670.35
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 $328.48 / $491.62 / $663.77	Professional		$328.48	$491.62	$663.77
United Facility/Professional Professional Modifier Low / Median / High Price $235.34 / $289.47 / $632.34	Professional		$235.34	$289.47	$632.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $284.52 / $284.52 / $284.52	Professional		$284.52	$284.52	$284.52