Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.84 / $50.67 / $83.17	Facility	26	$25.84	$50.67	$83.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.35 / $241.13 / $482.26	Professional		$168.35	$241.13	$482.26
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $30.62 / $100.00 / $731.61	Facility	26	$30.62	$100.00	$731.61
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $249.52 / $424.98 / $1,203.75	Professional		$249.52	$424.98	$1,203.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.24 / $430.19 / $640.10	Professional		$249.24	$430.19	$640.10
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $29.28 / $55.97 / $1,678.39	Facility	26	$29.28	$55.97	$1,678.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.26 / $440.04 / $589.33	Professional		$200.26	$440.04	$589.33
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 $35.28 / $44.89 / $46.24	Facility	26	$35.28	$44.89	$46.24
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $245.84 / $273.14 / $273.14	Professional		$245.84	$273.14	$273.14
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $30.62 / $30.62 / $30.80	Facility	26	$30.62	$30.62	$30.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.56 / $420.02 / $511.77	Professional		$283.56	$420.02	$511.77
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 $257.33 / $377.83 / $524.23	Professional		$257.33	$377.83	$524.23
United Facility/Professional Professional Modifier Low / Median / High Price $153.88 / $207.71 / $524.41	Professional		$153.88	$207.71	$524.41