Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.40 / $32.04 / $52.06	Facility	26	$23.40	$32.04	$52.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.25 / $82.03 / $191.29	Professional		$62.25	$82.03	$191.29
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $36.61 / $80.00 / $100.00	Facility	26	$36.61	$80.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $82.18 / $144.12 / $714.00	Professional		$82.18	$144.12	$714.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.56 / $128.21 / $208.07	Professional		$74.56	$128.21	$208.07
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $17.55 / $28.35 / $51.11	Facility	26	$17.55	$28.35	$51.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $116.60 / $196.86	Professional		$70.98	$116.60	$196.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.87 / $74.40 / $166.09	Professional		$15.87	$74.40	$166.09
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $26.95 / $35.59 / $36.18	Facility	26	$26.95	$35.59	$36.18
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $24.68 / $24.92 / $24.92	Facility	26	$24.68	$24.92	$24.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.55 / $150.66 / $182.33	Professional		$94.55	$150.66	$182.33
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 $91.01 / $128.96 / $172.66	Professional		$91.01	$128.96	$172.66
United Facility/Professional Professional Modifier Low / Median / High Price $73.26 / $109.62 / $191.18	Professional		$73.26	$109.62	$191.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $55.49 / $76.56 / $76.56	Professional		$55.49	$76.56	$76.56