Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $152.44 / $204.81 / $321.79	Facility	26	$152.44	$204.81	$321.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $336.22 / $444.42 / $821.12	Professional	TC	$336.22	$444.42	$821.12
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $158.58 / $526.83 / $526.83	Facility	26	$158.58	$526.83	$526.83
Asuris Northwest Health Facility/Professional Professional Modifier TC Low / Median / High Price $474.28 / $870.09 / $3,870.23	Professional	TC	$474.28	$870.09	$3,870.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $399.05 / $699.88 / $1,370.66	Professional	TC	$399.05	$699.88	$1,370.66
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $105.48 / $175.24 / $300.39	Facility	26	$105.48	$175.24	$300.39
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $343.51 / $544.55 / $990.51	Professional	TC	$343.51	$544.55	$990.51
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $190.85 / $229.14 / $232.49	Facility	26	$190.85	$229.14	$232.49
Pacific Source Facility/Professional Professional Modifier TC Low / Median / High Price $488.23 / $718.24 / $861.62	Professional	TC	$488.23	$718.24	$861.62
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $157.19 / $157.19 / $158.58	Facility	26	$157.19	$157.19	$158.58
Premera BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $621.01 / $964.73 / $1,203.72	Professional	TC	$621.01	$964.73	$1,203.72
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,784.45 / $1,784.45 / $3,043.22	Facility	26	$1,784.45	$1,784.45	$3,043.22
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $592.28 / $838.38 / $1,132.31	Professional	TC	$592.28	$838.38	$1,132.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $432.61 / $691.28 / $1,241.63	Professional	TC	$432.61	$691.28	$1,241.63
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $360.55 / $438.96 / $514.79	Professional	TC	$360.55	$438.96	$514.79