Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $99.35 / $199.69 / $335.81	Facility	26	$99.35	$199.69	$335.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.35 / $139.71 / $335.81	Professional	26	$99.35	$139.71	$335.81
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $123.39 / $853.92 / $2,871.86	Facility	26	$123.39	$853.92	$2,871.86
Asuris Northwest Health Facility/Professional Professional Modifier 26 Low / Median / High Price $123.39 / $212.94 / $1,463.88	Professional	26	$123.39	$212.94	$1,463.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $121.97 / $189.05 / $300.89	Professional	26	$121.97	$189.05	$300.89
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $89.28 / $226.73 / $6,659.19	Facility	26	$89.28	$226.73	$6,659.19
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $89.28 / $218.30 / $270.00	Professional	26	$89.28	$218.30	$270.00
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $148.40 / $178.40 / $187.99	Facility	26	$148.40	$178.40	$187.99
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $109.60 / $167.63 / $200.93	Professional	26	$109.60	$167.63	$200.93
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $123.39 / $123.39 / $125.00	Facility	26	$123.39	$123.39	$125.00
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $138.19 / $205.82 / $253.07	Professional	26	$138.19	$205.82	$253.07
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 $150.54 / $186.84 / $252.00	Professional	26	$150.54	$186.84	$252.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.98 / $104.27 / $245.26	Professional	26	$80.98	$104.27	$245.26