Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.95 / $157.53 / $240.89	Facility	26	$68.95	$157.53	$240.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.25 / $529.51 / $1,010.47	Professional		$369.25	$529.51	$1,010.47
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $93.32 / $323.95 / $468.86	Facility	26	$93.32	$323.95	$468.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $697.16 / $1,249.85 / $4,741.13	Professional		$697.16	$1,249.85	$4,741.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $517.40 / $1,052.41 / $1,785.20	Professional		$517.40	$1,052.41	$1,785.20
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $70.06 / $160.69 / $787.00	Facility	26	$70.06	$160.69	$787.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $430.90 / $873.20 / $1,428.83	Professional		$430.90	$873.20	$1,428.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.81 / $487.06 / $1,241.89	Professional		$78.81	$487.06	$1,241.89
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $112.86 / $136.77 / $142.13	Facility	26	$112.86	$136.77	$142.13
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $93.32 / $93.32 / $96.88	Facility	26	$93.32	$93.32	$96.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $816.55 / $1,205.73 / $1,483.11	Professional		$816.55	$1,205.73	$1,483.11
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $468.86 / $468.86 / $740.87	Facility	26	$468.86	$468.86	$740.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $697.16 / $1,074.84 / $1,468.56	Professional		$697.16	$1,074.84	$1,468.56
United Facility/Professional Professional Modifier Low / Median / High Price $460.75 / $594.13 / $1,316.77	Professional		$460.75	$594.13	$1,316.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $635.23 / $635.23 / $635.23	Professional		$635.23	$635.23	$635.23