Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.83 / $82.37 / $128.40	Facility	26	$60.83	$82.37	$128.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.41 / $290.13 / $464.49	Professional		$161.41	$290.13	$464.49
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $233.70 / $233.70	Facility	26	$100.00	$233.70	$233.70
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $264.26 / $465.74 / $1,631.40	Professional		$264.26	$465.74	$1,631.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.36 / $390.06 / $614.77	Professional		$233.36	$390.06	$614.77
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $56.44 / $111.00 / $762.02	Facility	26	$56.44	$111.00	$762.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $240.12 / $451.50 / $574.52	Professional		$240.12	$451.50	$574.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.19 / $229.93 / $556.88	Professional		$53.19	$229.93	$556.88
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $75.23 / $90.97 / $103.49	Facility	26	$75.23	$90.97	$103.49
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $62.51 / $62.51 / $63.07	Facility	26	$62.51	$62.51	$63.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.32 / $444.09 / $536.92	Professional		$293.32	$444.09	$536.92
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $513.03 / $513.03 / $838.61	Facility	26	$513.03	$513.03	$838.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $264.26 / $375.23 / $506.58	Professional		$264.26	$375.23	$506.58
United Facility/Professional Professional Modifier Low / Median / High Price $227.16 / $354.00 / $571.55	Professional		$227.16	$354.00	$571.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $273.87 / $273.87 / $273.87	Professional		$273.87	$273.87	$273.87