Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.74 / $6.46 / $10.43	Facility	26	$4.74	$6.46	$10.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.32 / $56.82 / $148.69	Professional		$43.32	$56.82	$148.69
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $7.16 / $100.00 / $100.00	Facility	26	$7.16	$100.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $56.56 / $99.75 / $442.90	Professional		$56.56	$99.75	$442.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.88 / $89.99 / $152.08	Professional		$51.88	$89.99	$152.08
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $3.52 / $5.64 / $10.76	Facility	26	$3.52	$5.64	$10.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.29 / $79.45 / $127.04	Professional		$49.29	$79.45	$127.04
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 $5.39 / $7.10 / $7.37	Facility	26	$5.39	$7.10	$7.37
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $4.98 / $4.98 / $5.03	Facility	26	$4.98	$4.98	$5.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $106.26 / $132.44	Professional		$68.56	$106.26	$132.44
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $107.17 / $107.17 / $107.98	Facility	26	$107.17	$107.17	$107.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $59.14 / $89.32 / $120.42	Professional		$59.14	$89.32	$120.42
United Facility/Professional Professional Modifier Low / Median / High Price $51.61 / $80.08 / $137.10	Professional		$51.61	$80.08	$137.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.03 / $56.58 / $56.58	Professional		$40.03	$56.58	$56.58