Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $469.94 / $900.22 / $14,464.32	Facility		$469.94	$900.22	$14,464.32
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $352.46 / $509.69 / $675.16	Facility	54	$352.46	$509.69	$675.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.87 / $469.94 / $931.87	Professional		$286.87	$469.94	$931.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $392.66 / $668.30 / $11,500.00	Facility		$392.66	$668.30	$11,500.00
Asuris Northwest Health Facility/Professional Facility Modifier 54 Low / Median / High Price $591.41 / $1,053.30 / $1,053.30	Facility	54	$591.41	$1,053.30	$1,053.30
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $488.80 / $783.16 / $2,864.78	Professional		$488.80	$783.16	$2,864.78
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 $340.66 / $629.70 / $1,111.31	Professional		$340.66	$629.70	$1,111.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $242.28 / $532.46 / $843.47	Facility		$242.28	$532.46	$843.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $270.63 / $532.46 / $865.12	Professional		$270.63	$532.46	$865.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $238.37 / $691.04	Professional		$39.46	$238.37	$691.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $438.68 / $641.19 / $741.02	Facility		$438.68	$641.19	$741.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $479.27 / $505.44	Facility		$77.31	$479.27	$505.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $505.44 / $740.25 / $923.24	Professional		$505.44	$740.25	$923.24
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 $455.85 / $677.31 / $901.21	Professional		$455.85	$677.31	$901.21
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 $393.99 / $555.52 / $1,045.64	Professional		$393.99	$555.52	$1,045.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $307.81 / $367.50 / $415.25	Professional		$307.81	$367.50	$415.25