Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.03 / $727.31 / $14,464.32	Facility		$360.03	$727.31	$14,464.32
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $270.02 / $393.19 / $545.48	Facility	54	$270.02	$393.19	$545.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.19 / $360.03 / $695.14	Professional		$231.19	$360.03	$695.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $310.02 / $310.02 / $310.02	Professional		$310.02	$310.02	$310.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $232.18 / $662.22 / $1,477.97	Facility		$232.18	$662.22	$1,477.97
Asuris Northwest Health Facility/Professional Facility Modifier 54 Low / Median / High Price $491.15 / $874.23 / $874.23	Facility	54	$491.15	$874.23	$874.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $383.38 / $625.24 / $2,369.33	Professional		$383.38	$625.24	$2,369.33
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 $273.95 / $514.90 / $870.21	Professional		$273.95	$514.90	$870.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $229.17 / $438.90 / $680.62	Facility		$229.17	$438.90	$680.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $235.16 / $429.76 / $682.87	Professional		$235.16	$429.76	$682.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.95 / $128.31 / $599.12	Professional		$28.95	$128.31	$599.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $351.74 / $512.54 / $570.16	Facility		$351.74	$512.54	$570.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $369.65 / $388.91	Facility		$77.31	$369.65	$388.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $388.91 / $603.59 / $739.29	Professional		$388.91	$603.59	$739.29
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 $376.99 / $535.78 / $706.48	Professional		$376.99	$535.78	$706.48
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 $316.16 / $439.11 / $795.16	Professional		$316.16	$439.11	$795.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $237.97 / $305.02 / $319.63	Professional		$237.97	$305.02	$319.63