Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $138.79 / $187.97 / $335.97	Facility	26	$138.79	$187.97	$335.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.82 / $404.24 / $739.40	Professional		$313.82	$404.24	$739.40
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $150.81 / $496.55 / $496.55	Facility	26	$150.81	$496.55	$496.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $438.24 / $835.65 / $3,399.38	Professional		$438.24	$835.65	$3,399.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.26 / $722.00 / $1,208.59	Professional		$369.26	$722.00	$1,208.59
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $98.88 / $168.76 / $294.85	Facility	26	$98.88	$168.76	$294.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $265.64 / $526.07 / $1,059.46	Professional		$265.64	$526.07	$1,059.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.63 / $325.31 / $841.25	Professional		$77.63	$325.31	$841.25
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $173.95 / $216.22 / $235.28	Facility	26	$173.95	$216.22	$235.28
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $144.05 / $144.05 / $150.81	Facility	26	$144.05	$144.05	$150.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.00 / $900.28 / $1,071.29	Professional		$562.00	$900.28	$1,071.29
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $946.29 / $946.29 / $1,497.68	Facility	26	$946.29	$946.29	$1,497.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $556.25 / $768.22 / $1,022.75	Professional		$556.25	$768.22	$1,022.75
United Facility/Professional Professional Modifier Low / Median / High Price $386.05 / $663.30 / $1,164.39	Professional		$386.05	$663.30	$1,164.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $317.76 / $383.13 / $437.93	Professional		$317.76	$383.13	$437.93