Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $306.52 / $492.90 / $667.96	Facility	26	$306.52	$492.90	$667.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.20 / $368.25 / $805.89	Professional		$278.20	$368.25	$805.89
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $472.54 / $592.02 / $1,083.21	Facility	26	$472.54	$592.02	$1,083.21
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $387.62 / $660.09 / $3,530.08	Professional		$387.62	$660.09	$3,530.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.45 / $529.79 / $927.59	Professional		$308.45	$529.79	$927.59
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $221.44 / $317.55 / $608.41	Facility	26	$221.44	$317.55	$608.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $253.68 / $375.83 / $699.25	Professional		$253.68	$375.83	$699.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $232.24 / $617.14	Professional		$37.11	$232.24	$617.14
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $378.95 / $458.05 / $475.32	Facility	26	$378.95	$458.05	$475.32
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $314.87 / $317.55 / $317.55	Facility	26	$314.87	$317.55	$317.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $430.48 / $627.08 / $763.17	Professional		$430.48	$627.08	$763.17
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $528.59 / $528.59 / $882.62	Facility	26	$528.59	$528.59	$882.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $386.50 / $508.81 / $695.54	Professional		$386.50	$508.81	$695.54
United Facility/Professional Professional Modifier Low / Median / High Price $321.60 / $480.47 / $796.09	Professional		$321.60	$480.47	$796.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $229.41 / $297.98 / $297.98	Professional		$229.41	$297.98	$297.98