Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.76 / $87.90 / $138.68	Facility	26	$65.76	$87.90	$138.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.20 / $113.22 / $250.75	Professional		$90.20	$113.22	$250.75
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $68.09 / $225.58 / $225.58	Facility	26	$68.09	$225.58	$225.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $130.06 / $238.43 / $962.93	Professional		$130.06	$238.43	$962.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.92 / $185.03 / $343.69	Professional		$79.92	$185.03	$343.69
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $42.88 / $72.59 / $127.76	Facility	26	$42.88	$72.59	$127.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.04 / $154.83 / $291.27	Professional		$87.04	$154.83	$291.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $100.65 / $232.98	Professional		$23.32	$100.65	$232.98
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $72.03 / $98.41 / $99.83	Facility	26	$72.03	$98.41	$99.83
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $67.50 / $67.50 / $68.09	Facility	26	$67.50	$67.50	$68.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.52 / $250.68 / $309.07	Professional		$158.52	$250.68	$309.07
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 $156.62 / $219.21 / $298.41	Professional		$156.62	$219.21	$298.41
United Facility/Professional Professional Modifier Low / Median / High Price $118.19 / $184.25 / $335.99	Professional		$118.19	$184.25	$335.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.38 / $109.94 / $124.53	Professional		$91.38	$109.94	$124.53