Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.54 / $34.39 / $53.64	Facility	26	$25.54	$34.39	$53.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.75 / $96.19 / $172.42	Professional		$59.75	$96.19	$172.42
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $26.51 / $122.36 / $122.36	Facility	26	$26.51	$122.36	$122.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $105.59 / $201.64 / $823.95	Professional		$105.59	$201.64	$823.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.09 / $140.13 / $287.99	Professional		$48.09	$140.13	$287.99
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $16.32 / $27.96 / $49.73	Facility	26	$16.32	$27.96	$49.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.77 / $108.47 / $221.77	Professional		$48.77	$108.47	$221.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $102.93 / $187.85	Professional		$18.00	$102.93	$187.85
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $27.93 / $38.19 / $38.86	Facility	26	$27.93	$38.19	$38.86
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $26.27 / $26.27 / $26.51	Facility	26	$26.27	$26.27	$26.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.54 / $214.76 / $265.68	Professional		$134.54	$214.76	$265.68
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 $137.21 / $185.39 / $252.37	Professional		$137.21	$185.39	$252.37
United Facility/Professional Professional Modifier Low / Median / High Price $80.03 / $154.01 / $272.66	Professional		$80.03	$154.01	$272.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.09 / $90.88 / $104.86	Professional		$75.09	$90.88	$104.86