Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.64 / $38.75 / $46.42	Facility	26	$29.64	$38.75	$46.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.71 / $79.31 / $109.19	Professional		$60.71	$79.31	$109.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.22 / $24.21 / $32.64	Professional	26	$20.22	$24.21	$32.64
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $38.22 / $87.43 / $95.38	Facility	26	$38.22	$87.43	$95.38
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $82.88 / $150.96 / $558.98	Professional		$82.88	$150.96	$558.98
Asuris Northwest Health Facility/Professional Professional Modifier 26 Low / Median / High Price $25.95 / $48.21 / $172.28	Professional	26	$25.95	$48.21	$172.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.37 / $125.14 / $208.58	Professional		$76.37	$125.14	$208.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.29 / $39.04 / $64.06	Professional	26	$24.29	$39.04	$64.06
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $21.76 / $36.50 / $65.45	Facility	26	$21.76	$36.50	$65.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $112.41 / $193.06	Professional		$68.48	$112.41	$193.06
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $21.27 / $34.68 / $58.01	Professional	26	$21.27	$34.68	$58.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.70 / $51.68 / $87.16	Professional		$9.70	$51.68	$87.16
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $34.64 / $41.85 / $42.21	Facility	26	$34.64	$41.85	$42.21
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $25.33 / $31.66 / $42.21	Professional	26	$25.33	$31.66	$42.21
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $28.79 / $29.90 / $29.90	Facility	26	$28.79	$29.90	$29.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.16 / $153.35 / $190.04	Professional		$95.16	$153.35	$190.04
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.38 / $48.84 / $59.98	Professional	26	$30.38	$48.84	$59.98
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $107.98 / $107.98 / $187.59	Facility	26	$107.98	$107.98	$187.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $93.79 / $129.33 / $172.67	Professional		$93.79	$129.33	$172.67
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $30.49 / $41.42 / $54.78	Professional	26	$30.49	$41.42	$54.78
United Facility/Professional Professional Modifier Low / Median / High Price $74.65 / $118.79 / $210.59	Professional		$74.65	$118.79	$210.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.18 / $36.31 / $65.31	Professional	26	$24.18	$36.31	$65.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.11 / $74.19 / $74.19	Professional		$54.11	$74.19	$74.19
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $17.39 / $21.94 / $21.94	Professional	26	$17.39	$21.94	$21.94