Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.66 / $151.63 / $246.14	Facility	26	$76.66	$151.63	$246.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.66 / $150.00 / $375.00	Professional	26	$76.66	$150.00	$375.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $53.76 / $53.76 / $109.96	Professional	26	$53.76	$53.76	$109.96
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $92.77 / $642.55 / $2,871.86	Facility	26	$92.77	$642.55	$2,871.86
Asuris Northwest Health Facility/Professional Professional Modifier 26 Low / Median / High Price $93.32 / $161.49 / $3,244.00	Professional	26	$93.32	$161.49	$3,244.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.79 / $143.57 / $226.35	Professional	26	$90.79	$143.57	$226.35
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $66.34 / $168.63 / $6,659.19	Facility	26	$66.34	$168.63	$6,659.19
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $66.34 / $166.00 / $205.31	Professional	26	$66.34	$166.00	$205.31
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $107.31 / $135.02 / $138.86	Facility	26	$107.31	$135.02	$138.86
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $96.39 / $127.04 / $159.36	Professional	26	$96.39	$127.04	$159.36
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $92.77 / $92.77 / $125.00	Facility	26	$92.77	$92.77	$125.00
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $104.79 / $155.22 / $190.27	Professional	26	$104.79	$155.22	$190.27
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $2,871.86 / $2,871.86 / $4,641.51	Facility	26	$2,871.86	$2,871.86	$4,641.51
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $112.85 / $140.47 / $190.22	Professional	26	$112.85	$140.47	$190.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.27 / $80.59 / $200.61	Professional	26	$62.27	$80.59	$200.61