Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.61 / $734.64 / $14,464.32	Facility		$386.61	$734.64	$14,464.32
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $289.95 / $421.48 / $550.98	Facility	54	$289.95	$421.48	$550.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.87 / $371.54 / $789.66	Professional		$229.87	$371.54	$789.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $232.18 / $668.30 / $1,477.97	Facility		$232.18	$668.30	$1,477.97
Asuris Northwest Health Facility/Professional Facility Modifier 54 Low / Median / High Price $491.47 / $875.28 / $875.28	Facility	54	$491.47	$875.28	$875.28
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $403.79 / $646.76 / $2,369.55	Professional		$403.79	$646.76	$2,369.55
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 $278.52 / $516.20 / $918.71	Professional		$278.52	$516.20	$918.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $229.17 / $435.45 / $703.51	Facility		$229.17	$435.45	$703.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.67 / $435.45 / $706.71	Professional		$234.67	$435.45	$706.71
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 $360.19 / $527.29 / $611.71	Facility		$360.19	$527.29	$611.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $395.92 / $417.24	Facility		$77.31	$395.92	$417.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $417.24 / $613.44 / $763.90	Professional		$417.24	$613.44	$763.90
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 $376.57 / $560.36 / $746.19	Professional		$376.57	$560.36	$746.19
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 $334.15 / $472.70 / $818.67	Professional		$334.15	$472.70	$818.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $255.09 / $305.08 / $343.75	Professional		$255.09	$305.08	$343.75