Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.41 / $150.02 / $244.40	Facility	26	$76.41	$150.02	$244.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.45 / $351.18 / $687.70	Professional		$271.45	$351.18	$687.70
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $91.05 / $156.00 / $731.61	Facility	26	$91.05	$156.00	$731.61
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $379.30 / $639.61 / $2,216.00	Professional		$379.30	$639.61	$2,216.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.40 / $622.01 / $934.80	Professional		$380.40	$622.01	$934.80
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $66.03 / $167.84 / $1,678.39	Facility	26	$66.03	$167.84	$1,678.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $294.50 / $665.26 / $878.39	Professional		$294.50	$665.26	$878.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $224.35 / $535.17	Professional		$54.00	$224.35	$535.17
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $107.06 / $134.34 / $136.68	Facility	26	$107.06	$134.34	$136.68
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $91.05 / $91.05 / $91.86	Facility	26	$91.05	$91.05	$91.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $415.07 / $614.80 / $753.59	Professional		$415.07	$614.80	$753.59
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 $379.30 / $565.60 / $778.07	Professional		$379.30	$565.60	$778.07
United Facility/Professional Professional Modifier Low / Median / High Price $253.39 / $313.01 / $767.60	Professional		$253.39	$313.01	$767.60