Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $142.91 / $424.16	Professional		$69.84	$142.91	$424.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.79 / $27.66 / $66.13	Professional	26	$20.79	$27.66	$66.13
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $118.08 / $118.08	Facility	26	$100.00	$118.08	$118.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $141.54 / $328.58 / $1,183.80	Professional		$141.54	$328.58	$1,183.80
Asuris Northwest Health Facility/Professional Professional Modifier 26 Low / Median / High Price $36.04 / $61.88 / $239.41	Professional	26	$36.04	$61.88	$239.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.27 / $139.36 / $179.32	Professional		$45.27	$139.36	$179.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.00 / $28.43 / $38.93	Professional	26	$14.00	$28.43	$38.93
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $25.73 / $51.30 / $79.68	Facility	26	$25.73	$51.30	$79.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.94 / $204.61 / $362.32	Professional		$106.94	$204.61	$362.32
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $33.10 / $54.20 / $72.88	Professional	26	$33.10	$54.20	$72.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.87 / $146.75 / $379.42	Professional		$27.87	$146.75	$379.42
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $38.71 / $51.80 / $52.26	Facility	26	$38.71	$51.80	$52.26
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $32.15 / $43.94 / $52.93	Professional	26	$32.15	$43.94	$52.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.73 / $312.54 / $371.03	Professional		$185.73	$312.54	$371.03
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.42 / $61.22 / $71.64	Professional	26	$36.42	$61.22	$71.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $163.59 / $252.66 / $317.33	Professional		$163.59	$252.66	$317.33
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $36.04 / $49.14 / $64.48	Professional	26	$36.04	$49.14	$64.48
United Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $82.14 / $176.96	Professional		$68.20	$82.14	$176.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.89 / $23.93 / $57.43	Professional	26	$16.89	$23.93	$57.43