Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.65 / $81.76 / $143.84	Facility	26	$41.65	$81.76	$143.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.70 / $385.70 / $926.96	Professional		$273.70	$385.70	$926.96
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $49.81 / $100.00 / $2,533.52	Facility	26	$49.81	$100.00	$2,533.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $402.62 / $667.82 / $1,900.36	Professional		$402.62	$667.82	$1,900.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.39 / $664.79 / $989.61	Professional		$423.39	$664.79	$989.61
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $50.07 / $95.94 / $5,739.12	Facility	26	$50.07	$95.94	$5,739.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $333.56 / $720.76 / $964.84	Professional		$333.56	$720.76	$964.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.21 / $321.22 / $637.87	Professional		$49.21	$321.22	$637.87
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $59.95 / $72.50 / $79.73	Facility	26	$59.95	$72.50	$79.73
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $49.81 / $49.81 / $49.83	Facility	26	$49.81	$49.81	$49.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $443.84 / $656.21 / $803.49	Professional		$443.84	$656.21	$803.49
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $2,533.52 / $2,533.52 / $4,053.27	Facility	26	$2,533.52	$2,533.52	$4,053.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $406.10 / $595.69 / $866.37	Professional		$406.10	$595.69	$866.37
United Facility/Professional Professional Modifier Low / Median / High Price $273.94 / $334.80 / $820.81	Professional		$273.94	$334.80	$820.81