Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.83 / $122.31 / $199.74	Facility	26	$62.83	$122.31	$199.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.25 / $277.26 / $753.71	Professional		$216.25	$277.26	$753.71
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $74.48 / $115.57 / $731.61	Facility	26	$74.48	$115.57	$731.61
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $301.22 / $487.74 / $2,091.00	Professional		$301.22	$487.74	$2,091.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.27 / $492.76 / $739.17	Professional		$296.27	$492.76	$739.17
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $70.02 / $137.51 / $1,678.39	Facility	26	$70.02	$137.51	$1,678.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $549.46 / $701.19	Professional		$229.09	$549.46	$701.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $232.19 / $468.46	Professional		$42.34	$232.19	$468.46
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $87.22 / $108.54 / $112.20	Facility	26	$87.22	$108.54	$112.20
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $74.48 / $74.48 / $74.75	Facility	26	$74.48	$74.48	$74.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $329.28 / $487.74 / $596.12	Professional		$329.28	$487.74	$596.12
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 $301.22 / $447.89 / $606.08	Professional		$301.22	$447.89	$606.08
United Facility/Professional Professional Modifier Low / Median / High Price $198.48 / $245.18 / $608.96	Professional		$198.48	$245.18	$608.96