Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $127.15 / $208.62 / $328.89	Facility	26	$127.15	$208.62	$328.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.63 / $168.12 / $328.89	Professional	26	$93.63	$168.12	$328.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $89.56 / $181.24 / $353.00	Professional	26	$89.56	$181.24	$353.00
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $125.00 / $1,053.11 / $2,871.86	Facility	26	$125.00	$1,053.11	$2,871.86
Asuris Northwest Health Facility/Professional Professional Modifier 26 Low / Median / High Price $154.31 / $255.66 / $1,192.32	Professional	26	$154.31	$255.66	$1,192.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $150.43 / $235.72 / $371.45	Professional	26	$150.43	$235.72	$371.45
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $110.36 / $279.69 / $6,659.19	Facility	26	$110.36	$279.69	$6,659.19
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $110.36 / $272.62 / $337.50	Professional	26	$110.36	$272.62	$337.50
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $183.15 / $222.16 / $227.80	Facility	26	$183.15	$222.16	$227.80
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $135.19 / $197.79 / $244.64	Professional	26	$135.19	$197.79	$244.64
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $125.00 / $125.00 / $152.18	Facility	26	$125.00	$125.00	$152.18
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $172.60 / $255.66 / $312.12	Professional	26	$172.60	$255.66	$312.12
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 $189.73 / $230.44 / $312.49	Professional	26	$189.73	$230.44	$312.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $103.38 / $125.25 / $306.33	Professional	26	$103.38	$125.25	$306.33