Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.29 / $49.03 / $74.23	Facility	26	$36.29	$49.03	$74.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.95 / $191.05 / $307.56	Professional		$110.95	$191.05	$307.56
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $38.04 / $122.62 / $122.62	Facility	26	$38.04	$122.62	$122.62
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $172.79 / $361.79 / $1,530.75	Professional		$172.79	$361.79	$1,530.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.65 / $230.80 / $540.84	Professional		$115.65	$230.80	$540.84
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $23.24 / $38.88 / $69.55	Facility	26	$23.24	$38.88	$69.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.01 / $185.93 / $439.76	Professional		$107.01	$185.93	$439.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.46 / $186.70 / $407.12	Professional		$35.46	$186.70	$407.12
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $39.20 / $53.24 / $54.94	Facility	26	$39.20	$53.24	$54.94
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $37.47 / $37.47 / $38.04	Facility	26	$37.47	$37.47	$38.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.37 / $378.41 / $478.95	Professional		$248.37	$378.41	$478.95
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $513.03 / $513.03 / $838.61	Facility	26	$513.03	$513.03	$838.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $253.64 / $335.00 / $453.55	Professional		$253.64	$335.00	$453.55
United Facility/Professional Professional Modifier Low / Median / High Price $141.15 / $244.11 / $513.65	Professional		$141.15	$244.11	$513.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $126.99 / $153.71 / $177.72	Professional		$126.99	$153.71	$177.72