Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $127.81 / $209.97 / $415.38	Facility	26	$127.81	$209.97	$415.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.63 / $211.12 / $360.33	Professional	26	$93.63	$211.12	$360.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $182.51 / $182.51 / $377.00	Professional	26	$182.51	$182.51	$377.00
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $125.00 / $1,063.59 / $2,871.86	Facility	26	$125.00	$1,063.59	$2,871.86
Asuris Northwest Health Facility/Professional Professional Modifier 26 Low / Median / High Price $155.69 / $257.18 / $1,192.32	Professional	26	$155.69	$257.18	$1,192.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $152.19 / $237.66 / $374.89	Professional	26	$152.19	$237.66	$374.89
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $111.60 / $283.00 / $6,659.19	Facility	26	$111.60	$283.00	$6,659.19
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $111.60 / $274.39 / $339.37	Professional	26	$111.60	$274.39	$339.37
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $184.80 / $224.00 / $233.18	Facility	26	$184.80	$224.00	$233.18
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $135.47 / $173.90 / $240.63	Professional	26	$135.47	$173.90	$240.63
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $125.00 / $125.00 / $153.55	Facility	26	$125.00	$125.00	$153.55
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $173.63 / $257.18 / $314.93	Professional	26	$173.63	$257.18	$314.93
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 $191.44 / $232.51 / $315.30	Professional	26	$191.44	$232.51	$315.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $104.30 / $133.19 / $321.10	Professional	26	$104.30	$133.19	$321.10