Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.25 / $106.86 / $183.54	Facility	26	$53.25	$106.86	$183.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.38 / $536.38 / $1,042.86	Professional		$334.38	$536.38	$1,042.86
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $102.12 / $217.99 / $217.99	Facility	26	$102.12	$217.99	$217.99
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $574.27 / $994.95 / $3,552.23	Professional		$574.27	$994.95	$3,552.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.72 / $849.67 / $1,345.31	Professional		$475.72	$849.67	$1,345.31
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $49.60 / $109.15 / $1,372.69	Facility	26	$49.60	$109.15	$1,372.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $490.62 / $962.99 / $1,323.07	Professional		$490.62	$962.99	$1,323.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.46 / $480.67 / $981.71	Professional		$50.46	$480.67	$981.71
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $79.15 / $95.22 / $99.12	Facility	26	$79.15	$95.22	$99.12
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $351.98 / $351.98 / $351.98	Professional		$351.98	$351.98	$351.98
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $64.78 / $64.78 / $65.81	Facility	26	$64.78	$64.78	$65.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $640.09 / $963.34 / $1,166.20	Professional		$640.09	$963.34	$1,166.20
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 $574.27 / $847.70 / $1,174.90	Professional		$574.27	$847.70	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $377.62 / $492.40 / $1,178.00	Professional		$377.62	$492.40	$1,178.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $462.24 / $462.24 / $462.24	Professional		$462.24	$462.24	$462.24