Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $136.08 / $182.70 / $287.87	Facility	26	$136.08	$182.70	$287.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.82 / $232.71 / $385.48	Professional		$172.82	$232.71	$385.48
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $141.21 / $466.27 / $466.27	Facility	26	$141.21	$466.27	$466.27
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $280.77 / $482.96 / $1,983.53	Professional		$280.77	$482.96	$1,983.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.52 / $375.27 / $708.45	Professional		$142.52	$375.27	$708.45
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $87.36 / $149.13 / $264.95	Facility	26	$87.36	$149.13	$264.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.59 / $314.29 / $589.17	Professional		$172.59	$314.29	$589.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.18 / $221.44 / $509.80	Professional		$45.18	$221.44	$509.80
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $150.91 / $203.50 / $207.03	Facility	26	$150.91	$203.50	$207.03
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $140.43 / $140.43 / $141.21	Facility	26	$140.43	$140.43	$141.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $326.45 / $523.69 / $650.49	Professional		$326.45	$523.69	$650.49
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 $330.33 / $451.44 / $614.54	Professional		$330.33	$451.44	$614.54
United Facility/Professional Professional Modifier Low / Median / High Price $247.02 / $395.91 / $694.01	Professional		$247.02	$395.91	$694.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $183.31 / $220.56 / $249.57	Professional		$183.31	$220.56	$249.57