Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.50 / $822.50 / $4,500.00	Facility		$417.50	$822.50	$4,500.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $212.92 / $318.56 / $411.25	Facility	52	$212.92	$318.56	$411.25
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $319.37 / $512.16 / $667.91	Facility	54	$319.37	$512.16	$667.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.31 / $417.51 / $816.89	Professional		$248.31	$417.51	$816.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $445.75 / $734.04 / $2,000.00	Facility		$445.75	$734.04	$2,000.00
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $642.33 / $1,151.73 / $1,151.73	Facility	52	$642.33	$1,151.73	$1,151.73
Asuris Northwest Health Facility/Professional Facility Modifier 54 Low / Median / High Price $562.04 / $1,007.76 / $1,007.76	Facility	54	$562.04	$1,007.76	$1,007.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $454.61 / $737.84 / $2,736.60	Professional		$454.61	$737.84	$2,736.60
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 $315.82 / $585.84 / $1,048.04	Professional		$315.82	$585.84	$1,048.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $237.87 / $491.59 / $788.04	Facility		$237.87	$491.59	$788.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $255.13 / $492.48 / $794.21	Professional		$255.13	$492.48	$794.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.55 / $185.15 / $707.90	Professional		$38.55	$185.15	$707.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $415.52 / $594.29 / $698.14	Facility		$415.52	$594.29	$698.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $445.75 / $476.19	Facility		$77.31	$445.75	$476.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $476.19 / $700.79 / $872.88	Professional		$476.19	$700.79	$872.88
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 $429.74 / $638.53 / $847.43	Professional		$429.74	$638.53	$847.43
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 $356.72 / $486.54 / $930.85	Professional		$356.72	$486.54	$930.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $291.26 / $346.53 / $387.57	Professional		$291.26	$346.53	$387.57