Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.39 / $35.47 / $51.02	Professional		$32.39	$35.47	$51.02
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $80.00 / $118.08 / $118.08	Facility	26	$80.00	$118.08	$118.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $44.85 / $80.12 / $275.02	Professional		$44.85	$80.12	$275.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $36.29 / $50.50	Professional		$17.80	$36.29	$50.50
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $26.66 / $50.40 / $72.20	Facility	26	$26.66	$50.40	$72.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.01 / $67.06 / $94.15	Professional		$42.01	$67.06	$94.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $52.28 / $92.27	Professional		$8.91	$52.28	$92.27
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $42.35 / $51.59 / $56.44	Facility	26	$42.35	$51.59	$56.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.80 / $77.95 / $92.76	Professional		$46.80	$77.95	$92.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $46.20 / $64.40 / $83.83	Professional		$46.20	$64.40	$83.83
United Facility/Professional Professional Modifier Low / Median / High Price $21.65 / $32.35 / $56.18	Professional		$21.65	$32.35	$56.18