Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.06 / $33.78 / $53.64	Facility	26	$25.06	$33.78	$53.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.31 / $84.86 / $162.10	Professional		$58.31	$84.86	$162.10
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $26.51 / $126.65 / $126.65	Facility	26	$26.51	$126.65	$126.65
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $94.36 / $174.30 / $719.18	Professional		$94.36	$174.30	$719.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.22 / $133.22 / $250.79	Professional		$47.22	$133.22	$250.79
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $16.32 / $27.96 / $48.87	Facility	26	$16.32	$27.96	$48.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.65 / $106.40 / $217.72	Professional		$47.65	$106.40	$217.72
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 $27.62 / $38.19 / $38.86	Facility	26	$27.62	$38.19	$38.86
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $25.82 / $25.82 / $26.51	Facility	26	$25.82	$25.82	$26.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.13 / $189.46 / $233.39	Professional		$117.13	$189.46	$233.39
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $188.60 / $188.60 / $217.18	Facility	26	$188.60	$188.60	$217.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $118.73 / $163.69 / $221.58	Professional		$118.73	$163.69	$221.58
United Facility/Professional Professional Modifier Low / Median / High Price $77.63 / $162.91 / $257.14	Professional		$77.63	$162.91	$257.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.25 / $80.11 / $92.24	Professional		$66.25	$80.11	$92.24