Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.26 / $100.50 / $166.86	Facility	26	$51.26	$100.50	$166.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.27 / $483.12 / $899.05	Professional		$294.27	$483.12	$899.05
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $94.80 / $204.38 / $204.38	Facility	26	$94.80	$204.38	$204.38
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $511.90 / $886.89 / $3,122.63	Professional		$511.90	$886.89	$3,122.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.36 / $721.12 / $1,182.17	Professional		$405.36	$721.12	$1,182.17
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $44.64 / $102.33 / $1,057.56	Facility	26	$44.64	$102.33	$1,057.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $413.02 / $830.95 / $1,113.81	Professional		$413.02	$830.95	$1,113.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.46 / $433.36 / $890.82	Professional		$50.46	$433.36	$890.82
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $73.70 / $89.18 / $91.80	Facility	26	$73.70	$89.18	$91.80
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $61.16 / $61.16 / $61.24	Facility	26	$61.16	$61.16	$61.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $563.16 / $835.85 / $1,025.30	Professional		$563.16	$835.85	$1,025.30
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 $511.90 / $745.28 / $1,043.40	Professional		$511.90	$745.28	$1,043.40
United Facility/Professional Professional Modifier Low / Median / High Price $345.41 / $462.76 / $1,036.45	Professional		$345.41	$462.76	$1,036.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $410.84 / $410.84 / $410.84	Professional		$410.84	$410.84	$410.84