Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.70 / $21.87 / $34.82	Facility	26	$15.70	$21.87	$34.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.08 / $64.33 / $142.31	Professional		$49.08	$64.33	$142.31
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $24.76 / $169.20 / $232.58	Facility	26	$24.76	$169.20	$232.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $70.67 / $121.74 / $469.95	Professional		$70.67	$121.74	$469.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.34 / $99.04 / $167.72	Professional		$58.34	$99.04	$167.72
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $11.78 / $19.09 / $34.07	Facility	26	$11.78	$19.09	$34.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.36 / $85.03 / $143.11	Professional		$52.36	$85.03	$143.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $53.61 / $98.32	Professional		$9.57	$53.61	$98.32
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $18.13 / $24.12 / $24.79	Facility	26	$18.13	$24.12	$24.79
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $16.91 / $17.21 / $17.21	Facility	26	$16.91	$17.21	$17.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.50 / $119.46 / $146.94	Professional		$75.50	$119.46	$146.94
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $270.73 / $270.73 / $459.43	Facility	26	$270.73	$270.73	$459.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $103.46 / $136.54	Professional		$72.06	$103.46	$136.54
United Facility/Professional Professional Modifier Low / Median / High Price $56.89 / $86.71 / $149.13	Professional		$56.89	$86.71	$149.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.62 / $60.39 / $60.39	Professional		$43.62	$60.39	$60.39