Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.82 / $24.39 / $39.67	Facility	26	$17.82	$24.39	$39.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.19 / $64.38 / $150.12	Professional		$46.19	$64.38	$150.12
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $28.71 / $80.00 / $100.00	Facility	26	$28.71	$80.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $60.78 / $106.58 / $500.00	Professional		$60.78	$106.58	$500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.66 / $93.32 / $156.52	Professional		$54.66	$93.32	$156.52
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $13.33 / $21.75 / $38.54	Facility	26	$13.33	$21.75	$38.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.52 / $83.35 / $140.81	Professional		$51.52	$83.35	$140.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $54.85 / $98.73	Professional		$9.71	$54.85	$98.73
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $20.09 / $27.16 / $27.88	Facility	26	$20.09	$27.16	$27.88
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $18.73 / $19.03 / $19.03	Facility	26	$18.73	$19.03	$19.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.50 / $110.33 / $136.97	Professional		$70.50	$110.33	$136.97
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $217.18 / $217.18 / $354.01	Facility	26	$217.18	$217.18	$354.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $96.00 / $129.71	Professional		$66.98	$96.00	$129.71
United Facility/Professional Professional Modifier Low / Median / High Price $53.64 / $82.88 / $140.01	Professional		$53.64	$82.88	$140.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.97 / $57.97 / $57.97	Professional		$41.97	$57.97	$57.97