Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $92.99 / $154.62 / $755.91	Facility	26	$92.99	$154.62	$755.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $618.51 / $874.42 / $1,502.65	Professional		$618.51	$874.42	$1,502.65
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $111.89 / $176.31 / $2,533.52	Facility	26	$111.89	$176.31	$2,533.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $923.54 / $1,513.28 / $4,322.46	Professional		$923.54	$1,513.28	$4,322.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $916.44 / $1,514.25 / $2,289.29	Professional		$916.44	$1,514.25	$2,289.29
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $105.25 / $204.12 / $6,255.42	Facility	26	$105.25	$204.12	$6,255.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $871.71 / $1,690.64 / $2,107.23	Professional		$871.71	$1,690.64	$2,107.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $113.35 / $587.75 / $1,442.83	Professional		$113.35	$587.75	$1,442.83
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $136.87 / $164.59 / $167.50	Facility	26	$136.87	$164.59	$167.50
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $752.05 / $752.05 / $752.05	Professional		$752.05	$752.05	$752.05
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $111.89 / $111.89 / $114.25	Facility	26	$111.89	$111.89	$114.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,016.10 / $1,505.06 / $1,848.25	Professional		$1,016.10	$1,505.06	$1,848.25
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $2,533.52 / $2,533.52 / $4,287.53	Facility	26	$2,533.52	$2,533.52	$4,287.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $923.54 / $1,350.78 / $1,838.44	Professional		$923.54	$1,350.78	$1,838.44
United Facility/Professional Professional Modifier Low / Median / High Price $623.87 / $761.58 / $1,803.35	Professional		$623.87	$761.58	$1,803.35