Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.64 / $161.19 / $788.52	Facility	26	$98.64	$161.19	$788.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $150.00 / $291.50	Professional	26	$90.00	$150.00	$291.50
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $117.78 / $183.13 / $4,365.97	Facility	26	$117.78	$183.13	$4,365.97
Asuris Northwest Health Facility/Professional Professional Modifier 26 Low / Median / High Price $120.12 / $205.02 / $710.48	Professional	26	$120.12	$205.02	$710.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $116.67 / $182.74 / $286.99	Professional	26	$116.67	$182.74	$286.99
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $110.76 / $214.82 / $11,340.27	Facility	26	$110.76	$214.82	$11,340.27
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $110.76 / $208.66 / $260.62	Professional	26	$110.76	$208.66	$260.62
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $141.90 / $171.73 / $175.54	Facility	26	$141.90	$171.73	$175.54
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $103.04 / $141.90 / $175.54	Professional	26	$103.04	$141.90	$175.54
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $117.78 / $117.78 / $117.91	Facility	26	$117.78	$117.78	$117.91
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $133.05 / $197.07 / $241.82	Professional	26	$133.05	$197.07	$241.82
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $4,365.97 / $4,365.97 / $7,584.64	Facility	26	$4,365.97	$4,365.97	$7,584.64
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $143.41 / $178.54 / $244.84	Professional	26	$143.41	$178.54	$244.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.31 / $102.72 / $246.06	Professional	26	$80.31	$102.72	$246.06