Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.88 / $722.69 / $14,464.32	Facility		$378.88	$722.69	$14,464.32
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $284.16 / $412.94 / $542.02	Facility	54	$284.16	$412.94	$542.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.84 / $340.07 / $712.90	Professional		$222.84	$340.07	$712.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $232.18 / $662.22 / $1,278.36	Facility		$232.18	$662.22	$1,278.36
Asuris Northwest Health Facility/Professional Facility Modifier 54 Low / Median / High Price $489.45 / $871.06 / $871.06	Facility	54	$489.45	$871.06	$871.06
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $395.93 / $634.46 / $2,356.42	Professional		$395.93	$634.46	$2,356.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.39 / $305.39 / $305.39	Facility		$305.39	$305.39	$305.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.06 / $513.73 / $906.12	Professional		$274.06	$513.73	$906.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $226.46 / $429.00 / $687.48	Facility		$226.46	$429.00	$687.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.19 / $429.12 / $691.19	Professional		$232.19	$429.12	$691.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $181.05 / $611.84	Professional		$38.47	$181.05	$611.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $354.31 / $514.55 / $600.32	Facility		$354.31	$514.55	$600.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $388.22 / $409.47	Facility		$77.31	$388.22	$409.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $409.47 / $604.15 / $750.58	Professional		$409.47	$604.15	$750.58
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 $374.15 / $549.10 / $739.02	Professional		$374.15	$549.10	$739.02
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 $330.00 / $451.74 / $801.60	Professional		$330.00	$451.74	$801.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $250.39 / $303.56 / $337.11	Professional		$250.39	$303.56	$337.11