Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.22 / $630.41 / $13,750.00	Facility		$425.22	$630.41	$13,750.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $225.92 / $330.88 / $465.15	Facility	54	$225.92	$330.88	$465.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.84 / $294.99 / $605.90	Professional		$184.84	$294.99	$605.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $741.00 / $741.00 / $741.00	Professional		$741.00	$741.00	$741.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $392.66 / $733.95 / $2,088.44	Facility		$392.66	$733.95	$2,088.44
Asuris Northwest Health Facility/Professional Facility Modifier 54 Low / Median / High Price $291.72 / $755.54 / $755.54	Facility	54	$291.72	$755.54	$755.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $325.63 / $528.62 / $2,041.65	Professional		$325.63	$528.62	$2,041.65
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 $227.53 / $444.66 / $733.58	Professional		$227.53	$444.66	$733.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $204.29 / $365.12 / $562.87	Facility		$204.29	$365.12	$562.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $205.76 / $364.62 / $571.49	Professional		$205.76	$364.62	$571.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $176.19 / $456.28	Professional		$36.04	$176.19	$456.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $287.39 / $416.07 / $470.34	Facility		$287.39	$416.07	$470.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $303.06 / $320.81	Facility		$77.31	$303.06	$320.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.13 / $512.79 / $636.78	Professional		$328.13	$512.79	$636.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $433.36 / $667.91 / $1,278.36	Facility		$433.36	$667.91	$1,278.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $315.55 / $456.63 / $607.92	Professional		$315.55	$456.63	$607.92
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 $256.88 / $341.29 / $629.07	Professional		$256.88	$341.29	$629.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $196.84 / $263.14 / $269.85	Professional		$196.84	$263.14	$269.85