Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.42 / $91.50 / $144.09	Facility	26	$68.42	$91.50	$144.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.81 / $102.43 / $183.34	Professional		$80.81	$102.43	$183.34
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $70.84 / $234.66 / $234.66	Facility	26	$70.84	$234.66	$234.66
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $103.97 / $184.95 / $766.88	Professional		$103.97	$184.95	$766.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.25 / $155.66 / $274.70	Professional		$85.25	$155.66	$274.70
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $47.43 / $78.98 / $135.85	Facility	26	$47.43	$78.98	$135.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.40 / $136.87 / $234.54	Professional		$85.40	$136.87	$234.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $92.70 / $224.30	Professional		$19.68	$92.70	$224.30
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $74.48 / $102.41 / $103.85	Facility	26	$74.48	$102.41	$103.85
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $70.22 / $70.22 / $70.84	Facility	26	$70.22	$70.22	$70.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.01 / $199.80 / $246.20	Professional		$127.01	$199.80	$246.20
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 $125.66 / $175.63 / $239.09	Professional		$125.66	$175.63	$239.09
United Facility/Professional Professional Modifier Low / Median / High Price $113.82 / $163.95 / $267.81	Professional		$113.82	$163.95	$267.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.16 / $87.70 / $98.26	Professional		$73.16	$87.70	$98.26