Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $99.17 / $198.28 / $322.70	Facility	26	$99.17	$198.28	$322.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.17 / $137.32 / $322.70	Professional	26	$99.17	$137.32	$322.70
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $120.65 / $834.64 / $2,871.86	Facility	26	$120.65	$834.64	$2,871.86
Asuris Northwest Health Facility/Professional Professional Modifier 26 Low / Median / High Price $121.97 / $204.34 / $1,192.32	Professional	26	$121.97	$204.34	$1,192.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $117.95 / $186.86 / $294.38	Professional	26	$117.95	$186.86	$294.38
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $86.49 / $219.28 / $6,659.19	Facility	26	$86.49	$219.28	$6,659.19
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $86.49 / $216.78 / $268.12	Professional	26	$86.49	$216.78	$268.12
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $145.19 / $175.04 / $181.44	Facility	26	$145.19	$175.04	$181.44
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $106.53 / $155.04 / $190.80	Professional	26	$106.53	$155.04	$190.80
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $120.65 / $120.65 / $125.00	Facility	26	$120.65	$120.65	$125.00
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $137.16 / $204.34 / $247.45	Professional	26	$137.16	$204.34	$247.45
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 $149.97 / $182.69 / $247.74	Professional	26	$149.97	$182.69	$247.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.68 / $103.87 / $259.92	Professional	26	$80.68	$103.87	$259.92