Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.92 / $144.38 / $235.45	Facility	26	$72.92	$144.38	$235.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.02 / $449.96 / $1,032.38	Professional		$316.02	$449.96	$1,032.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.10 / $72.92 / $176.53	Professional	26	$57.10	$72.92	$176.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $103.46 / $103.46 / $103.46	Professional	26	$103.46	$103.46	$103.46
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $87.74 / $135.78 / $949.44	Facility	26	$87.74	$135.78	$949.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $462.94 / $796.08 / $2,260.82	Professional		$462.94	$796.08	$2,260.82
Asuris Northwest Health Facility/Professional Professional Modifier 26 Low / Median / High Price $89.63 / $147.61 / $603.00	Professional	26	$89.63	$147.61	$603.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $469.06 / $792.10 / $1,182.34	Professional		$469.06	$792.10	$1,182.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.33 / $135.94 / $214.28	Professional	26	$86.33	$135.94	$214.28
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $82.33 / $160.53 / $2,162.39	Facility	26	$82.33	$160.53	$2,162.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $375.72 / $799.69 / $1,086.80	Professional		$375.72	$799.69	$1,086.80
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $82.33 / $157.50 / $195.00	Professional	26	$82.33	$157.50	$195.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.85 / $366.55 / $724.73	Professional		$49.85	$366.55	$724.73
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $103.35 / $127.01 / $131.00	Facility	26	$103.35	$127.01	$131.00
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $79.95 / $123.48 / $136.32	Professional	26	$79.95	$123.48	$136.32
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $87.74 / $87.74 / $87.88	Facility	26	$87.74	$87.74	$87.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $531.16 / $784.06 / $957.33	Professional		$531.16	$784.06	$957.33
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $99.66 / $148.61 / $179.96	Professional	26	$99.66	$148.61	$179.96
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 $483.71 / $701.00 / $987.76	Professional		$483.71	$701.00	$987.76
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $106.73 / $132.86 / $180.17	Professional	26	$106.73	$132.86	$180.17
United Facility/Professional Professional Modifier Low / Median / High Price $297.83 / $367.91 / $982.29	Professional		$297.83	$367.91	$982.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.20 / $72.76 / $184.30	Professional	26	$59.20	$72.76	$184.30