Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.67 / $800.39 / $14,464.32	Facility		$402.67	$800.39	$14,464.32
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $302.00 / $447.89 / $600.29	Facility	54	$302.00	$447.89	$600.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.78 / $383.50 / $792.12	Professional		$252.78	$383.50	$792.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $419.48 / $733.95 / $11,500.00	Facility		$419.48	$733.95	$11,500.00
Asuris Northwest Health Facility/Professional Facility Modifier 54 Low / Median / High Price $539.65 / $972.78 / $972.78	Facility	54	$539.65	$972.78	$972.78
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $428.06 / $698.07 / $2,656.20	Professional		$428.06	$698.07	$2,656.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.39 / $500.00 / $568.48	Facility		$305.39	$500.00	$568.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.67 / $572.25 / $966.56	Professional		$307.67	$572.25	$966.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $242.28 / $482.32 / $757.96	Facility		$242.28	$482.32	$757.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $253.11 / $482.32 / $756.48	Professional		$253.11	$482.32	$756.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.62 / $192.48 / $631.38	Professional		$38.62	$192.48	$631.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $399.28 / $582.23 / $638.51	Facility		$399.28	$582.23	$638.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $419.48 / $435.52	Facility		$77.31	$419.48	$435.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $435.52 / $680.63 / $825.46	Professional		$435.52	$680.63	$825.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $495.66 / $681.04 / $1,278.36	Facility		$495.66	$681.04	$1,278.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $427.33 / $598.23 / $803.38	Professional		$427.33	$598.23	$803.38
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $345.80 / $504.60 / $893.95	Professional		$345.80	$504.60	$893.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $265.02 / $333.37 / $349.95	Professional		$265.02	$333.37	$349.95