Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.90 / $79.44 / $129.54	Facility	26	$40.90	$79.44	$129.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.66 / $227.30 / $466.03	Professional		$165.66	$227.30	$466.03
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $48.44 / $100.00 / $731.61	Facility	26	$48.44	$100.00	$731.61
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $245.08 / $414.33 / $1,153.97	Professional		$245.08	$414.33	$1,153.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.76 / $406.16 / $607.20	Professional		$238.76	$406.16	$607.20
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $45.41 / $89.04 / $1,678.39	Facility	26	$45.41	$89.04	$1,678.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.31 / $426.36 / $566.27	Professional		$186.31	$426.36	$566.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.10 / $190.19 / $385.40	Professional		$36.10	$190.19	$385.40
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $56.84 / $70.73 / $73.44	Facility	26	$56.84	$70.73	$73.44
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $48.44 / $48.44 / $48.92	Facility	26	$48.44	$48.44	$48.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.20 / $400.23 / $488.33	Professional		$270.20	$400.23	$488.33
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 $247.17 / $365.65 / $491.12	Professional		$247.17	$365.65	$491.12
United Facility/Professional Professional Modifier Low / Median / High Price $161.41 / $199.82 / $508.87	Professional		$161.41	$199.82	$508.87