Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $94.00 / $213.46 / $327.31	Facility	26	$94.00	$213.46	$327.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.65 / $323.19 / $609.79	Professional		$233.65	$323.19	$609.79
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $127.75 / $440.53 / $657.04	Facility	26	$127.75	$440.53	$657.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $434.28 / $739.10 / $2,800.50	Professional		$434.28	$739.10	$2,800.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.80 / $625.16 / $1,049.95	Professional		$317.80	$625.16	$1,049.95
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $88.66 / $214.00 / $1,073.72	Facility	26	$88.66	$214.00	$1,073.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.17 / $544.89 / $850.47	Professional		$302.17	$544.89	$850.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.85 / $296.04 / $712.27	Professional		$64.85	$296.04	$712.27
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $131.32 / $185.59 / $192.29	Facility	26	$131.32	$185.59	$192.29
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $195.70 / $195.70 / $223.80	Professional		$195.70	$195.70	$223.80
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $127.75 / $127.75 / $131.16	Facility	26	$127.75	$127.75	$131.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $491.54 / $740.96 / $881.70	Professional		$491.54	$740.96	$881.70
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 $434.28 / $645.34 / $873.05	Professional		$434.28	$645.34	$873.05
United Facility/Professional Professional Modifier Low / Median / High Price $307.91 / $364.95 / $831.56	Professional		$307.91	$364.95	$831.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $374.44 / $374.44 / $374.44	Professional		$374.44	$374.44	$374.44