Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.18 / $636.04 / $14,464.32	Facility		$313.18	$636.04	$14,464.32
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $234.89 / $346.81 / $477.04	Facility	54	$234.89	$346.81	$477.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.78 / $313.18 / $626.57	Professional		$200.78	$313.18	$626.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $375.98 / $668.30 / $11,500.00	Facility		$375.98	$668.30	$11,500.00
Asuris Northwest Health Facility/Professional Facility Modifier 54 Low / Median / High Price $444.58 / $793.71 / $793.71	Facility	54	$444.58	$793.71	$793.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $342.25 / $555.46 / $2,160.83	Professional		$342.25	$555.46	$2,160.83
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 $235.43 / $452.53 / $764.81	Professional		$235.43	$452.53	$764.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $208.94 / $374.90 / $585.29	Facility		$208.94	$374.90	$585.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.94 / $370.87 / $588.35	Professional		$208.94	$370.87	$588.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.69 / $233.67 / $518.34	Professional		$40.69	$233.67	$518.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $304.77 / $426.79 / $501.83	Facility		$304.77	$426.79	$501.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $325.70 / $342.29	Facility		$77.31	$325.70	$342.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.29 / $535.48 / $673.98	Professional		$342.29	$535.48	$673.98
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 $332.18 / $481.66 / $642.40	Professional		$332.18	$481.66	$642.40
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 $262.00 / $373.52 / $713.52	Professional		$262.00	$373.52	$713.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.15 / $276.25 / $278.22	Professional		$208.15	$276.25	$278.22