Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.39 / $796.36 / $14,464.32	Facility		$407.39	$796.36	$14,464.32
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $305.54 / $445.82 / $603.41	Facility	54	$305.54	$445.82	$603.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.18 / $407.39 / $823.84	Professional		$265.18	$407.39	$823.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $232.18 / $667.91 / $1,388.36	Facility		$232.18	$667.91	$1,388.36
Asuris Northwest Health Facility/Professional Facility Modifier 54 Low / Median / High Price $537.15 / $957.94 / $957.94	Facility	54	$537.15	$957.94	$957.94
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $425.04 / $694.23 / $2,588.25	Professional		$425.04	$694.23	$2,588.25
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 $305.83 / $568.64 / $967.97	Professional		$305.83	$568.64	$967.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $237.87 / $479.52 / $759.95	Facility		$237.87	$479.52	$759.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $249.41 / $480.15 / $764.41	Professional		$249.41	$480.15	$764.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $181.83 / $611.84	Professional		$38.47	$181.83	$611.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $398.48 / $577.54 / $642.53	Facility		$398.48	$577.54	$642.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $416.76 / $438.26	Facility		$77.31	$416.76	$438.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $438.26 / $667.31 / $808.23	Professional		$438.26	$667.31	$808.23
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 / $590.38 / $795.80	Professional		$413.31	$590.38	$795.80
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 $364.52 / $499.90 / $896.81	Professional		$364.52	$499.90	$896.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $268.33 / $332.39 / $359.23	Professional		$268.33	$332.39	$359.23