Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.73 / $44.55 / $72.45	Facility	26	$22.73	$44.55	$72.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.96 / $235.03 / $526.58	Professional		$163.96	$235.03	$526.58
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $26.96 / $100.00 / $949.44	Facility	26	$26.96	$100.00	$949.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $242.21 / $412.67 / $1,169.18	Professional		$242.21	$412.67	$1,169.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.84 / $417.95 / $621.61	Professional		$241.84	$417.95	$621.61
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $19.53 / $49.38 / $2,377.71	Facility	26	$19.53	$49.38	$2,377.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $195.30 / $418.03 / $573.32	Professional		$195.30	$418.03	$573.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.45 / $259.57 / $449.54	Professional		$46.45	$259.57	$449.54
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $31.36 / $39.53 / $40.79	Facility	26	$31.36	$39.53	$40.79
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $357.74 / $357.74 / $949.95	Professional		$357.74	$357.74	$949.95
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $26.96 / $26.96 / $27.18	Facility	26	$26.96	$26.96	$27.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.33 / $407.84 / $496.82	Professional		$275.33	$407.84	$496.82
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $949.44 / $949.44 / $4,053.27	Facility	26	$949.44	$949.44	$4,053.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $249.94 / $366.76 / $510.43	Professional		$249.94	$366.76	$510.43
United Facility/Professional Professional Modifier Low / Median / High Price $154.38 / $202.01 / $509.21	Professional		$154.38	$202.01	$509.21