Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.26 / $163.47 / $250.74	Facility	26	$72.26	$163.47	$250.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.13 / $391.82 / $783.64	Professional		$324.13	$391.82	$783.64
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $97.40 / $336.07 / $468.86	Facility	26	$97.40	$336.07	$468.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $491.11 / $856.23 / $3,179.78	Professional		$491.11	$856.23	$3,179.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.24 / $740.13 / $1,196.92	Professional		$446.24	$740.13	$1,196.92
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $68.20 / $166.26 / $787.00	Facility	26	$68.20	$166.26	$787.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $356.19 / $785.96 / $1,030.30	Professional		$356.19	$785.96	$1,030.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.06 / $336.40 / $830.21	Professional		$69.06	$336.40	$830.21
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $99.96 / $141.37 / $146.72	Facility	26	$99.96	$141.37	$146.72
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $142.34 / $142.34 / $142.34	Professional		$142.34	$142.34	$142.34
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $97.40 / $97.40 / $100.08	Facility	26	$97.40	$97.40	$100.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $558.39 / $837.77 / $998.71	Professional		$558.39	$837.77	$998.71
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 $491.11 / $752.82 / $987.12	Professional		$491.11	$752.82	$987.12
United Facility/Professional Professional Modifier Low / Median / High Price $423.34 / $460.44 / $941.55	Professional		$423.34	$460.44	$941.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $426.62 / $426.62 / $426.62	Professional		$426.62	$426.62	$426.62