Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $124.59 / $159.16 / $259.45	Facility	26	$124.59	$159.16	$259.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.25 / $219.79 / $413.62	Professional		$163.25	$219.79	$413.62
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $183.54 / $253.72 / $420.63	Facility	26	$183.54	$253.72	$420.63
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $216.68 / $376.16 / $1,378.13	Professional		$216.68	$376.16	$1,378.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.74 / $301.17 / $554.05	Professional		$173.74	$301.17	$554.05
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $86.08 / $125.49 / $247.81	Facility	26	$86.08	$125.49	$247.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.54 / $218.88 / $390.68	Professional		$145.54	$218.88	$390.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.65 / $150.94 / $348.74	Professional		$31.65	$150.94	$348.74
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $142.10 / $177.67 / $182.92	Facility	26	$142.10	$177.67	$182.92
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $121.86 / $121.86 / $122.02	Facility	26	$121.86	$121.86	$122.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.76 / $357.69 / $440.85	Professional		$242.76	$357.69	$440.85
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $946.29 / $946.29 / $1,497.68	Facility	26	$946.29	$946.29	$1,497.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $216.68 / $295.63 / $400.85	Professional		$216.68	$295.63	$400.85
United Facility/Professional Professional Modifier Low / Median / High Price $189.00 / $256.49 / $461.51	Professional		$189.00	$256.49	$461.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $135.82 / $182.39 / $182.39	Professional		$135.82	$182.39	$182.39