Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.26 / $122.52 / $188.47	Facility	26	$54.26	$122.52	$188.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.04 / $264.45 / $528.91	Professional		$211.04	$264.45	$528.91
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $72.93 / $252.81 / $468.86	Facility	26	$72.93	$252.81	$468.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $336.80 / $586.04 / $2,167.80	Professional		$336.80	$586.04	$2,167.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.89 / $493.81 / $816.46	Professional		$291.89	$493.81	$816.46
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $50.84 / $125.07 / $787.00	Facility	26	$50.84	$125.07	$787.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $237.80 / $500.50 / $664.76	Professional		$237.80	$500.50	$664.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.78 / $223.70 / $538.56	Professional		$52.78	$223.70	$538.56
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $75.45 / $106.53 / $109.88	Facility	26	$75.45	$106.53	$109.88
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $173.45 / $173.45 / $173.45	Professional		$173.45	$173.45	$173.45
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $72.93 / $72.93 / $74.95	Facility	26	$72.93	$72.93	$74.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.19 / $571.73 / $680.33	Professional		$382.19	$571.73	$680.33
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 $336.80 / $513.75 / $673.65	Professional		$336.80	$513.75	$673.65
United Facility/Professional Professional Modifier Low / Median / High Price $271.20 / $305.86 / $678.30	Professional		$271.20	$305.86	$678.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $289.80 / $289.80 / $289.80	Professional		$289.80	$289.80	$289.80