Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $121.41 / $239.43 / $395.55	Facility	26	$121.41	$239.43	$395.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.97 / $121.41 / $242.82	Professional	26	$93.97	$121.41	$242.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $209.07 / $209.07 / $209.07	Professional	26	$209.07	$209.07	$209.07
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $144.96 / $505.23 / $505.23	Facility	26	$144.96	$505.23	$505.23
Asuris Northwest Health Facility/Professional Professional Modifier 26 Low / Median / High Price $147.84 / $255.21 / $891.08	Professional	26	$147.84	$255.21	$891.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $135.22 / $221.18 / $340.12	Professional	26	$135.22	$221.18	$340.12
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $106.02 / $244.83 / $747.49	Facility	26	$106.02	$244.83	$747.49
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $106.02 / $242.36 / $306.67	Professional	26	$106.02	$242.36	$306.67
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $173.84 / $213.94 / $222.44	Facility	26	$173.84	$213.94	$222.44
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $153.83 / $198.85 / $232.53	Professional	26	$153.83	$198.85	$232.53
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $144.96 / $144.96 / $146.69	Facility	26	$144.96	$144.96	$146.69
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $167.02 / $246.53 / $300.87	Professional	26	$167.02	$246.53	$300.87
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $484.26 / $484.26 / $803.73	Facility	26	$484.26	$484.26	$803.73
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $147.84 / $222.13 / $299.82	Professional	26	$147.84	$222.13	$299.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $99.39 / $122.78 / $282.45	Professional	26	$99.39	$122.78	$282.45
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $113.01 / $113.01 / $113.01	Professional	26	$113.01	$113.01	$113.01