Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $510.95 / $768.60 / $13,750.00	Facility		$510.95	$768.60	$13,750.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $293.06 / $424.78 / $576.45	Facility	54	$293.06	$424.78	$576.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.66 / $354.33 / $745.24	Professional		$236.66	$354.33	$745.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $399.55 / $668.30 / $11,500.00	Facility		$399.55	$668.30	$11,500.00
Asuris Northwest Health Facility/Professional Facility Modifier 54 Low / Median / High Price $505.60 / $900.74 / $900.74	Facility	54	$505.60	$900.74	$900.74
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $407.48 / $656.35 / $2,442.23	Professional		$407.48	$656.35	$2,442.23
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 $290.99 / $536.69 / $928.90	Professional		$290.99	$536.69	$928.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $232.50 / $455.07 / $732.13	Facility		$232.50	$455.07	$732.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $242.28 / $460.80 / $732.13	Professional		$242.28	$460.80	$732.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $181.76 / $611.84	Professional		$38.47	$181.76	$611.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $369.44 / $550.07 / $615.73	Facility		$369.44	$550.07	$615.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $399.55 / $419.98	Facility		$77.31	$399.55	$419.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $419.98 / $628.50 / $769.85	Professional		$419.98	$628.50	$769.85
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 $390.10 / $564.73 / $757.99	Professional		$390.10	$564.73	$757.99
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 $344.25 / $476.52 / $857.85	Professional		$344.25	$476.52	$857.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $256.74 / $313.74 / $345.31	Professional		$256.74	$313.74	$345.31