Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.01 / $76.52 / $125.61	Facility	26	$39.01	$76.52	$125.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.63 / $290.42 / $580.84	Professional		$192.63	$290.42	$580.84
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $46.61 / $100.00 / $731.61	Facility	26	$46.61	$100.00	$731.61
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $297.05 / $509.67 / $1,447.02	Professional		$297.05	$509.67	$1,447.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.54 / $510.10 / $760.12	Professional		$299.54	$510.10	$760.12
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $34.10 / $84.77 / $1,678.39	Facility	26	$34.10	$84.77	$1,678.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.52 / $509.65 / $710.18	Professional		$245.52	$509.65	$710.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.64 / $242.59 / $524.52	Professional		$42.64	$242.59	$524.52
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $52.43 / $67.81 / $69.68	Facility	26	$52.43	$67.81	$69.68
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $46.61 / $46.61 / $46.66	Facility	26	$46.61	$46.61	$46.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.07 / $503.10 / $616.38	Professional		$340.07	$503.10	$616.38
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 $309.54 / $449.80 / $643.79	Professional		$309.54	$449.80	$643.79
United Facility/Professional Professional Modifier Low / Median / High Price $190.68 / $255.23 / $603.54	Professional		$190.68	$255.23	$603.54