Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.89 / $131.75 / $163.82	Facility	26	$75.89	$131.75	$163.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.56 / $227.80 / $441.24	Professional		$153.56	$227.80	$441.24
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $108.83 / $264.93 / $264.93	Facility	26	$108.83	$264.93	$264.93
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $474.90 / $980.44 / $1,733.66	Professional		$474.90	$980.44	$1,733.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.35 / $672.55 / $1,332.51	Professional		$375.35	$672.55	$1,332.51
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $60.78 / $120.18 / $205.42	Facility	26	$60.78	$120.18	$205.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $332.32 / $649.02 / $1,003.40	Professional		$332.32	$649.02	$1,003.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.07 / $155.06 / $356.32	Professional		$29.07	$155.06	$356.32
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $96.17 / $113.90 / $117.92	Facility	26	$96.17	$113.90	$117.92
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $79.73 / $79.73 / $80.43	Facility	26	$79.73	$79.73	$80.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $598.10 / $900.14 / $1,133.20	Professional		$598.10	$900.14	$1,133.20
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $211.40 / $211.40 / $385.75	Facility	26	$211.40	$211.40	$385.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $540.54 / $779.57 / $1,046.99	Professional		$540.54	$779.57	$1,046.99
United Facility/Professional Professional Modifier Low / Median / High Price $388.44 / $643.51 / $1,123.85	Professional		$388.44	$643.51	$1,123.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $191.36 / $191.36 / $191.36	Professional		$191.36	$191.36	$191.36