Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.28 / $72.37 / $142.52	Facility	26	$44.28	$72.37	$142.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.52 / $386.06 / $843.24	Professional		$288.52	$386.06	$843.24
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $52.10 / $100.00 / $949.44	Facility	26	$52.10	$100.00	$949.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $400.78 / $669.81 / $1,919.16	Professional		$400.78	$669.81	$1,919.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.92 / $670.50 / $998.52	Professional		$412.92	$670.50	$998.52
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $49.65 / $96.81 / $2,162.39	Facility	26	$49.65	$96.81	$2,162.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $322.08 / $707.90 / $931.67	Professional		$322.08	$707.90	$931.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.21 / $321.22 / $637.87	Professional		$49.21	$321.22	$637.87
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $60.27 / $76.09 / $79.56	Facility	26	$60.27	$76.09	$79.56
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $52.10 / $52.10 / $53.00	Facility	26	$52.10	$52.10	$53.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.92 / $659.45 / $811.10	Professional		$446.92	$659.45	$811.10
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $949.44 / $949.44 / $1,526.97	Facility	26	$949.44	$949.44	$1,526.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $410.26 / $593.45 / $843.36	Professional		$410.26	$593.45	$843.36
United Facility/Professional Professional Modifier Low / Median / High Price $271.61 / $333.83 / $793.18	Professional		$271.61	$333.83	$793.18