Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $368.37 / $468.57 / $764.17	Facility	26	$368.37	$468.57	$764.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.87 / $1,446.19 / $2,552.27	Professional		$891.87	$1,446.19	$2,552.27
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $368.74 / $2,506.64 / $5,624.10	Facility	26	$368.74	$2,506.64	$5,624.10
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,439.13 / $2,390.63 / $8,668.12	Professional		$1,439.13	$2,390.63	$8,668.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.75 / $2,137.51 / $3,217.62	Professional		$1,288.75	$2,137.51	$3,217.62
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $342.91 / $618.36 / $10,775.99	Facility	26	$342.91	$618.36	$10,775.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,429.32 / $2,148.19 / $2,896.53	Professional		$1,429.32	$2,148.19	$2,896.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $183.17 / $789.86 / $2,080.65	Professional		$183.17	$789.86	$2,080.65
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $445.94 / $519.07 / $553.52	Facility	26	$445.94	$519.07	$553.52
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $368.74 / $368.74 / $370.63	Facility	26	$368.74	$368.74	$370.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,458.36 / $2,297.92 / $2,750.31	Professional		$1,458.36	$2,297.92	$2,750.31
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $5,624.10 / $5,624.10 / $9,482.39	Facility	26	$5,624.10	$5,624.10	$9,482.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,439.13 / $1,958.40 / $2,637.90	Professional		$1,439.13	$1,958.40	$2,637.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,298.44 / $1,770.59 / $2,915.80	Professional		$1,298.44	$1,770.59	$2,915.80