Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.83 / $19.28 / $32.65	Facility	26	$9.83	$19.28	$32.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.08 / $100.18 / $223.76	Professional		$70.08	$100.18	$223.76
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $11.78 / $50.00 / $731.61	Facility	26	$11.78	$50.00	$731.61
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $110.42 / $188.08 / $515.17	Professional		$110.42	$188.08	$515.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.69 / $181.65 / $284.56	Professional		$106.69	$181.65	$284.56
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $11.45 / $22.06 / $1,678.39	Facility	26	$11.45	$22.06	$1,678.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.39 / $197.77 / $247.86	Professional		$83.39	$197.77	$247.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.58 / $103.92 / $180.06	Professional		$18.58	$103.92	$180.06
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $14.29 / $17.12 / $18.09	Facility	26	$14.29	$17.12	$18.09
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $11.78 / $11.78 / $11.88	Facility	26	$11.78	$11.78	$11.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.32 / $188.08 / $227.76	Professional		$124.32	$188.08	$227.76
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $731.61 / $731.61 / $1,177.68	Facility	26	$731.61	$731.61	$1,177.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $110.42 / $168.16 / $225.07	Professional		$110.42	$168.16	$225.07
United Facility/Professional Professional Modifier Low / Median / High Price $71.48 / $88.54 / $223.71	Professional		$71.48	$88.54	$223.71