Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.65 / $745.05 / $13,750.00	Facility		$355.65	$745.05	$13,750.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $266.74 / $384.27 / $521.33	Facility	54	$266.74	$384.27	$521.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.46 / $355.65 / $675.74	Professional		$220.46	$355.65	$675.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $232.18 / $667.91 / $1,278.36	Facility		$232.18	$667.91	$1,278.36
Asuris Northwest Health Facility/Professional Facility Modifier 54 Low / Median / High Price $463.97 / $824.44 / $824.44	Facility	54	$463.97	$824.44	$824.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $366.37 / $595.64 / $2,223.00	Professional		$366.37	$595.64	$2,223.00
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 $260.44 / $485.64 / $844.85	Professional		$260.44	$485.64	$844.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $221.34 / $411.47 / $663.51	Facility		$221.34	$411.47	$663.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.17 / $417.12 / $663.51	Professional		$229.17	$417.12	$663.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.87 / $274.87 / $601.72	Professional		$44.87	$274.87	$601.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $335.70 / $494.46 / $558.78	Facility		$335.70	$494.46	$558.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $359.23 / $381.14	Facility		$77.31	$359.23	$381.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $381.14 / $569.91 / $698.64	Professional		$381.14	$569.91	$698.64
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 $351.92 / $510.33 / $687.12	Professional		$351.92	$510.33	$687.12
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 $300.80 / $421.11 / $787.85	Professional		$300.80	$421.11	$787.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $233.55 / $288.97 / $315.81	Professional		$233.55	$288.97	$315.81