Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $195.29 / $259.94 / $412.58	Facility	26	$195.29	$259.94	$412.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.51 / $199.84 / $323.35	Professional		$167.51	$199.84	$323.35
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $201.13 / $658.52 / $658.52	Facility	26	$201.13	$658.52	$658.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $221.72 / $411.97 / $1,584.60	Professional		$221.72	$411.97	$1,584.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.75 / $315.83 / $576.05	Professional		$155.75	$315.83	$576.05
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $123.48 / $216.35 / $377.11	Facility	26	$123.48	$216.35	$377.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.36 / $248.08 / $475.95	Professional		$157.36	$248.08	$475.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.45 / $144.20 / $386.19	Professional		$32.45	$144.20	$386.19
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $212.70 / $286.39 / $294.13	Facility	26	$212.70	$286.39	$294.13
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $199.25 / $199.25 / $201.13	Facility	26	$199.25	$199.25	$201.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.01 / $429.17 / $527.70	Professional		$274.01	$429.17	$527.70
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 $290.14 / $370.12 / $498.54	Professional		$290.14	$370.12	$498.54
United Facility/Professional Professional Modifier Low / Median / High Price $213.20 / $305.64 / $567.72	Professional		$213.20	$305.64	$567.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.29 / $179.97 / $197.75	Professional		$151.29	$179.97	$197.75