Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.40 / $97.32 / $163.81	Facility	26	$63.40	$97.32	$163.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.87 / $322.38 / $426.02	Professional		$116.87	$322.38	$426.02
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $81.09 / $270.97 / $270.97	Facility	26	$81.09	$270.97	$270.97
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $356.56 / $632.30 / $2,346.08	Professional		$356.56	$632.30	$2,346.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.81 / $280.47 / $355.50	Professional		$74.81	$280.47	$355.50
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $59.83 / $137.19 / $183.75	Facility	26	$59.83	$137.19	$183.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $222.72 / $426.70 / $751.43	Professional		$222.72	$426.70	$751.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.51 / $219.21 / $606.16	Professional		$50.51	$219.21	$606.16
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $97.90 / $118.95 / $121.27	Facility	26	$97.90	$118.95	$121.27
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $80.63 / $80.63 / $81.09	Facility	26	$80.63	$80.63	$81.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.52 / $621.27 / $763.19	Professional		$380.52	$621.27	$763.19
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $565.04 / $565.04 / $726.04	Facility	26	$565.04	$565.04	$726.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $386.69 / $530.14 / $695.34	Professional		$386.69	$530.14	$695.34
United Facility/Professional Professional Modifier Low / Median / High Price $95.05 / $168.96 / $425.10	Professional		$95.05	$168.96	$425.10