Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.13 / $153.15 / $277.20	Professional		$85.13	$153.15	$277.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.45 / $39.34 / $158.65	Professional	26	$26.45	$39.34	$158.65
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $166.51 / $166.51	Facility	26	$100.00	$166.51	$166.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $169.46 / $368.01 / $1,446.30	Professional		$169.46	$368.01	$1,446.30
Asuris Northwest Health Facility/Professional Professional Modifier 26 Low / Median / High Price $50.51 / $92.98 / $304.95	Professional	26	$50.51	$92.98	$304.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.50 / $166.68 / $218.01	Professional		$54.50	$166.68	$218.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.10 / $40.42 / $56.59	Professional	26	$18.10	$40.42	$56.59
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $37.20 / $69.78 / $115.31	Facility	26	$37.20	$69.78	$115.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.13 / $246.67 / $425.99	Professional		$144.13	$246.67	$425.99
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $47.95 / $74.33 / $105.47	Professional	26	$47.95	$74.33	$105.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.85 / $178.92 / $403.68	Professional		$33.85	$178.92	$403.68
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $60.49 / $72.90 / $75.04	Facility	26	$60.49	$72.90	$75.04
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $45.02 / $56.78 / $65.56	Professional	26	$45.02	$56.78	$65.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.38 / $346.96 / $439.00	Professional		$226.38	$346.96	$439.00
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.83 / $87.12 / $103.78	Professional	26	$51.83	$87.12	$103.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $195.32 / $292.22 / $355.00	Professional		$195.32	$292.22	$355.00
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $51.28 / $71.19 / $91.77	Professional	26	$51.28	$71.19	$91.77
United Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $140.38 / $325.00	Professional		$84.23	$140.38	$325.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.25 / $35.58 / $82.46	Professional	26	$24.25	$35.58	$82.46