Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.67 / $81.81 / $160.52	Facility	26	$49.67	$81.81	$160.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.66 / $282.38 / $666.23	Professional		$202.66	$282.38	$666.23
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $58.89 / $102.00 / $949.44	Facility	26	$58.89	$102.00	$949.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $503.51 / $1,573.00	Professional		$304.00	$503.51	$1,573.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.35 / $503.54 / $752.07	Professional		$306.35	$503.54	$752.07
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $43.09 / $109.23 / $2,162.39	Facility	26	$43.09	$109.23	$2,162.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $237.77 / $525.76 / $708.34	Professional		$237.77	$525.76	$708.34
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 $67.62 / $86.52 / $89.11	Facility	26	$67.62	$86.52	$89.11
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $58.89 / $58.89 / $59.41	Facility	26	$58.89	$58.89	$59.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.96 / $497.63 / $604.55	Professional		$335.96	$497.63	$604.55
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 $304.00 / $446.34 / $626.32	Professional		$304.00	$446.34	$626.32
United Facility/Professional Professional Modifier Low / Median / High Price $201.63 / $251.11 / $621.29	Professional		$201.63	$251.11	$621.29