Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.17 / $47.51 / $73.29	Facility	26	$35.17	$47.51	$73.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.91 / $157.94 / $278.68	Professional		$108.91	$157.94	$278.68
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $36.69 / $118.08 / $118.08	Facility	26	$36.69	$118.08	$118.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $161.00 / $324.01 / $1,369.43	Professional		$161.00	$324.01	$1,369.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.05 / $220.02 / $484.41	Professional		$113.05	$220.02	$484.41
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $23.16 / $39.61 / $68.67	Facility	26	$23.16	$39.61	$68.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.13 / $182.50 / $387.48	Professional		$105.13	$182.50	$387.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.75 / $150.94 / $381.30	Professional		$29.75	$150.94	$381.30
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $38.22 / $51.58 / $53.60	Facility	26	$38.22	$51.58	$53.60
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $36.56 / $36.56 / $36.69	Facility	26	$36.56	$36.56	$36.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.22 / $343.87 / $429.06	Professional		$216.22	$343.87	$429.06
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 $219.45 / $302.64 / $406.31	Professional		$219.45	$302.64	$406.31
United Facility/Professional Professional Modifier Low / Median / High Price $137.28 / $218.04 / $440.81	Professional		$137.28	$218.04	$440.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $116.23 / $140.66 / $162.44	Professional		$116.23	$140.66	$162.44