Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $410.71 / $731.99 / $18,711.00	Facility		$410.71	$731.99	$18,711.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $308.02 / $446.83 / $604.52	Facility	54	$308.02	$446.83	$604.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.40 / $376.22 / $787.43	Professional		$250.40	$376.22	$787.43
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 $538.27 / $956.89 / $956.89	Facility	54	$538.27	$956.89	$956.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $427.81 / $694.23 / $2,591.10	Professional		$427.81	$694.23	$2,591.10
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 $304.94 / $567.76 / $978.20	Professional		$304.94	$567.76	$978.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $235.16 / $477.96 / $759.95	Facility		$235.16	$477.96	$759.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $246.76 / $482.88 / $770.87	Professional		$246.76	$482.88	$770.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $182.17 / $611.84	Professional		$38.47	$182.17	$611.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $405.69 / $574.86 / $647.89	Facility		$405.69	$574.86	$647.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $419.48 / $441.92	Facility		$77.31	$419.48	$441.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $441.92 / $667.31 / $810.06	Professional		$441.92	$667.31	$810.06
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 $413.31 / $594.22 / $800.99	Professional		$413.31	$594.22	$800.99
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 $364.99 / $522.50 / $902.51	Professional		$364.99	$522.50	$902.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $270.27 / $334.08 / $364.07	Professional		$270.27	$334.08	$364.07