Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.19 / $31.36 / $31.36	Facility	26	$31.19	$31.36	$31.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.99 / $104.40 / $302.61	Professional		$47.99	$104.40	$302.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.07 / $31.36 / $50.50	Professional	26	$26.07	$31.36	$50.50
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $41.68 / $158.69 / $158.69	Facility	26	$41.68	$158.69	$158.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $244.86 / $392.20 / $1,560.98	Professional		$244.86	$392.20	$1,560.98
Asuris Northwest Health Facility/Professional Professional Modifier 26 Low / Median / High Price $42.50 / $71.52 / $261.45	Professional	26	$42.50	$71.52	$261.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.02 / $158.02 / $158.02	Professional		$158.02	$158.02	$158.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.27 / $28.27 / $28.27	Professional	26	$28.27	$28.27	$28.27
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $28.21 / $58.66 / $81.59	Facility	26	$28.21	$58.66	$81.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.93 / $126.60 / $485.12	Professional		$64.93	$126.60	$485.12
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $29.72 / $65.55 / $81.59	Professional	26	$29.72	$65.55	$81.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $199.72 / $442.94	Professional		$35.74	$199.72	$442.94
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $45.05 / $60.97 / $62.98	Facility	26	$45.05	$60.97	$62.98
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $37.70 / $53.41 / $62.98	Professional	26	$37.70	$53.41	$62.98
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $41.68 / $41.68 / $42.96	Facility	26	$41.68	$41.68	$42.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.08 / $403.33 / $490.87	Professional		$273.08	$403.33	$490.87
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.29 / $71.66 / $86.11	Professional	26	$48.29	$71.66	$86.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $244.86 / $347.68 / $463.86	Professional		$244.86	$347.68	$463.86
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $42.50 / $61.15 / $80.75	Professional	26	$42.50	$61.15	$80.75
United Facility/Professional Professional Modifier Low / Median / High Price $86.65 / $149.33 / $466.88	Professional		$86.65	$149.33	$466.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.96 / $41.05 / $85.69	Professional	26	$35.96	$41.05	$85.69