Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.91 / $48.89 / $63.82	Facility	26	$30.91	$48.89	$63.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.07 / $73.06 / $156.00	Professional		$34.07	$73.06	$156.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.53 / $30.91 / $63.82	Professional	26	$20.53	$30.91	$63.82
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $29.90 / $80.00 / $96.88	Facility	26	$29.90	$80.00	$96.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $65.06 / $120.96 / $445.20	Professional		$65.06	$120.96	$445.20
Asuris Northwest Health Facility/Professional Professional Modifier 26 Low / Median / High Price $28.79 / $49.46 / $173.25	Professional	26	$28.79	$49.46	$173.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.03 / $85.37 / $179.76	Professional		$45.03	$85.37	$179.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $39.82 / $69.91	Professional	26	$24.55	$39.82	$69.91
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $19.71 / $28.69 / $50.75	Facility	26	$19.71	$28.69	$50.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.64 / $50.50 / $89.37	Professional		$32.64	$50.50	$89.37
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $19.88 / $29.43 / $52.56	Professional	26	$19.88	$29.43	$52.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.70 / $50.15 / $91.10	Professional		$9.70	$50.15	$91.10
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $31.98 / $42.21 / $44.22	Facility	26	$31.98	$42.21	$44.22
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $28.80 / $36.45 / $46.62	Professional	26	$28.80	$36.45	$46.62
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $28.79 / $29.90 / $29.90	Facility	26	$28.79	$29.90	$29.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.92 / $118.92 / $141.51	Professional		$77.92	$118.92	$141.51
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.13 / $48.02 / $58.45	Professional	26	$33.13	$48.02	$58.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $65.06 / $94.90 / $132.80	Professional		$65.06	$94.90	$132.80
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $30.49 / $40.34 / $54.12	Professional	26	$30.49	$40.34	$54.12
United Facility/Professional Professional Modifier Low / Median / High Price $46.92 / $72.08 / $144.72	Professional		$46.92	$72.08	$144.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.79 / $34.32 / $63.37	Professional	26	$26.79	$34.32	$63.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.51 / $57.96 / $57.96	Professional		$42.51	$57.96	$57.96
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $17.67 / $22.56 / $22.56	Professional	26	$17.67	$22.56	$22.56