Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.50 / $679.43 / $14,464.32	Facility		$321.50	$679.43	$14,464.32
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $241.13 / $350.41 / $493.46	Facility	54	$241.13	$350.41	$493.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.02 / $311.43 / $628.45	Professional		$200.02	$311.43	$628.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $388.99 / $668.30 / $11,500.00	Facility		$388.99	$668.30	$11,500.00
Asuris Northwest Health Facility/Professional Facility Modifier 54 Low / Median / High Price $291.72 / $792.63 / $792.63	Facility	54	$291.72	$792.63	$792.63
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $346.68 / $558.16 / $2,143.42	Professional		$346.68	$558.16	$2,143.42
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 $242.73 / $460.58 / $778.41	Professional		$242.73	$460.58	$778.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $212.04 / $393.30 / $603.67	Facility		$212.04	$393.30	$603.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $215.76 / $383.52 / $604.59	Professional		$215.76	$383.52	$604.59
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 $311.61 / $442.20 / $493.79	Facility		$311.61	$442.20	$493.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $320.27 / $336.81	Facility		$77.31	$320.27	$336.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $348.23 / $541.02 / $668.53	Professional		$348.23	$541.02	$668.53
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 $336.34 / $480.87 / $638.24	Professional		$336.34	$480.87	$638.24
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 $277.22 / $379.32 / $686.84	Professional		$277.22	$379.32	$686.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $206.50 / $275.85 / $286.11	Professional		$206.50	$275.85	$286.11