Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $445.89 / $873.21 / $14,464.32	Facility		$445.89	$873.21	$14,464.32
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $334.42 / $482.99 / $654.91	Facility	54	$334.42	$482.99	$654.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.88 / $419.06 / $863.26	Professional		$273.88	$419.06	$863.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $375.11 / $375.11 / $375.11	Professional		$375.11	$375.11	$375.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $232.18 / $668.30 / $1,931.40	Facility		$232.18	$668.30	$1,931.40
Asuris Northwest Health Facility/Professional Facility Modifier 54 Low / Median / High Price $597.77 / $1,063.92 / $1,063.92	Facility	54	$597.77	$1,063.92	$1,063.92
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $466.17 / $766.43 / $2,881.35	Professional		$466.17	$766.43	$2,881.35
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 $330.81 / $628.41 / $1,061.44	Professional		$330.81	$628.41	$1,061.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $242.28 / $517.91 / $825.02	Facility		$242.28	$517.91	$825.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $272.49 / $521.92 / $830.83	Professional		$272.49	$521.92	$830.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.55 / $192.72 / $692.03	Professional		$38.55	$192.72	$692.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $420.09 / $617.74 / $700.15	Facility		$420.09	$617.74	$700.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $454.81 / $477.57	Facility		$77.31	$454.81	$477.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $477.57 / $733.88 / $898.94	Professional		$477.57	$733.88	$898.94
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 $459.71 / $651.48 / $872.97	Professional		$459.71	$651.48	$872.97
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 $393.07 / $538.65 / $975.65	Professional		$393.07	$538.65	$975.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $292.36 / $371.91 / $393.61	Professional		$292.36	$371.91	$393.61