Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.20 / $102.35 / $202.57	Facility	26	$62.20	$102.35	$202.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.47 / $352.73 / $891.46	Professional		$286.47	$352.73	$891.46
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $74.29 / $115.68 / $949.44	Facility	26	$74.29	$115.68	$949.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $443.75 / $759.89 / $2,164.91	Professional		$443.75	$759.89	$2,164.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.19 / $760.90 / $1,134.57	Professional		$447.19	$760.90	$1,134.57
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $70.87 / $138.19 / $2,162.39	Facility	26	$70.87	$138.19	$2,162.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $365.80 / $772.30 / $1,058.09	Professional		$365.80	$772.30	$1,058.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.85 / $366.55 / $724.73	Professional		$49.85	$366.55	$724.73
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $85.75 / $108.32 / $112.56	Facility	26	$85.75	$108.32	$112.56
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $74.29 / $74.29 / $74.95	Facility	26	$74.29	$74.29	$74.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $507.02 / $751.01 / $922.80	Professional		$507.02	$751.01	$922.80
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 $462.92 / $671.93 / $960.17	Professional		$462.92	$671.93	$960.17
United Facility/Professional Professional Modifier Low / Median / High Price $284.30 / $351.19 / $937.66	Professional		$284.30	$351.19	$937.66