Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.30 / $78.89 / $100.57	Facility	26	$49.30	$78.89	$100.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.84 / $220.65 / $606.36	Professional		$137.84	$220.65	$606.36
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $82.72 / $159.69 / $159.69	Facility	26	$82.72	$159.69	$159.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $217.60 / $390.37 / $1,343.70	Professional		$217.60	$390.37	$1,343.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.85 / $281.51 / $508.49	Professional		$170.85	$281.51	$508.49
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $34.72 / $75.19 / $123.55	Facility	26	$34.72	$75.19	$123.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.19 / $297.54 / $424.50	Professional		$148.19	$297.54	$424.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.15 / $151.38 / $373.59	Professional		$29.15	$151.38	$373.59
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $55.12 / $68.95 / $71.02	Facility	26	$55.12	$68.95	$71.02
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $47.99 / $47.99 / $48.02	Facility	26	$47.99	$47.99	$48.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.87 / $355.23 / $436.78	Professional		$238.87	$355.23	$436.78
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $936.81 / $936.81 / $1,640.24	Facility	26	$936.81	$936.81	$1,640.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $217.60 / $306.35 / $412.64	Professional		$217.60	$306.35	$412.64
United Facility/Professional Professional Modifier Low / Median / High Price $165.89 / $271.19 / $497.56	Professional		$165.89	$271.19	$497.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $174.39 / $174.39 / $174.39	Professional		$174.39	$174.39	$174.39