Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.34 / $189.15 / $373.17	Facility	26	$113.34	$189.15	$373.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $153.16 / $297.88	Professional	26	$90.00	$153.16	$297.88
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $125.00 / $945.52 / $2,871.86	Facility	26	$125.00	$945.52	$2,871.86
Asuris Northwest Health Facility/Professional Professional Modifier 26 Low / Median / High Price $139.06 / $231.43 / $1,192.32	Professional	26	$139.06	$231.43	$1,192.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $135.74 / $211.69 / $334.94	Professional	26	$135.74	$211.69	$334.94
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $99.51 / $252.38 / $6,659.19	Facility	26	$99.51	$252.38	$6,659.19
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $99.51 / $246.24 / $304.68	Professional	26	$99.51	$246.24	$304.68
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $164.45 / $198.61 / $207.03	Facility	26	$164.45	$198.61	$207.03
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $122.00 / $186.33 / $225.57	Professional	26	$122.00	$186.33	$225.57
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $125.00 / $125.00 / $136.63	Facility	26	$125.00	$125.00	$136.63
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $155.65 / $231.43 / $280.25	Professional	26	$155.65	$231.43	$280.25
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 $170.99 / $206.91 / $280.58	Professional	26	$170.99	$206.91	$280.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $92.34 / $119.49 / $297.45	Professional	26	$92.34	$119.49	$297.45