Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.68 / $16.63 / $27.99	Facility	26	$12.68	$16.63	$27.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.18 / $62.57 / $130.18	Professional		$44.18	$62.57	$130.18
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $18.97 / $169.20 / $232.58	Facility	26	$18.97	$169.20	$232.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $64.78 / $104.58 / $619.00	Professional		$64.78	$104.58	$619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.63 / $94.14 / $149.47	Professional		$54.63	$94.14	$149.47
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $9.27 / $15.22 / $27.79	Facility	26	$9.27	$15.22	$27.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.24 / $84.00 / $140.63	Professional		$51.24	$84.00	$140.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.48 / $53.61 / $98.32	Professional		$9.48	$53.61	$98.32
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $14.05 / $18.46 / $19.43	Facility	26	$14.05	$18.46	$19.43
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $12.80 / $13.14 / $13.14	Facility	26	$12.80	$13.14	$13.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.68 / $106.53 / $131.94	Professional		$67.68	$106.53	$131.94
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $513.03 / $513.03 / $838.61	Facility	26	$513.03	$513.03	$838.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $92.95 / $124.69	Professional		$66.06	$92.95	$124.69
United Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $86.41 / $141.88	Professional		$52.52	$86.41	$141.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.75 / $55.33 / $55.33	Professional		$39.75	$55.33	$55.33