Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.92 / $86.23 / $142.65	Facility	26	$43.92	$86.23	$142.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.33 / $373.94 / $835.40	Professional		$261.33	$373.94	$835.40
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $52.10 / $80.87 / $949.44	Facility	26	$52.10	$80.87	$949.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $393.30 / $649.79 / $1,858.99	Professional		$393.30	$649.79	$1,858.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.55 / $649.79 / $967.78	Professional		$402.55	$649.79	$967.78
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $38.13 / $94.65 / $2,162.39	Facility	26	$38.13	$94.65	$2,162.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $335.11 / $717.15 / $908.35	Professional		$335.11	$717.15	$908.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.20 / $321.07 / $637.87	Professional		$49.20	$321.07	$637.87
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $62.66 / $75.42 / $79.06	Facility	26	$62.66	$75.42	$79.06
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $52.10 / $52.10 / $52.55	Facility	26	$52.10	$52.10	$52.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $433.56 / $639.32 / $786.35	Professional		$433.56	$639.32	$786.35
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $949.44 / $949.44 / $1,526.97	Facility	26	$949.44	$949.44	$1,526.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $397.32 / $584.40 / $822.21	Professional		$397.32	$584.40	$822.21
United Facility/Professional Professional Modifier Low / Median / High Price $266.88 / $329.68 / $801.81	Professional		$266.88	$329.68	$801.81