Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.66 / $799.57 / $18,711.00	Facility		$438.66	$799.57	$18,711.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $329.00 / $479.12 / $637.51	Facility	54	$329.00	$479.12	$637.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.11 / $438.66 / $833.45	Professional		$271.11	$438.66	$833.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $329.09 / $329.09 / $329.09	Professional		$329.09	$329.09	$329.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $232.18 / $667.91 / $1,492.40	Facility		$232.18	$667.91	$1,492.40
Asuris Northwest Health Facility/Professional Facility Modifier 54 Low / Median / High Price $575.80 / $1,026.83 / $1,026.83	Facility	54	$575.80	$1,026.83	$1,026.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $459.69 / $748.85 / $2,784.38	Professional		$459.69	$748.85	$2,784.38
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 $324.42 / $611.37 / $1,043.68	Professional		$324.42	$611.37	$1,043.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $242.28 / $504.00 / $807.41	Facility		$242.28	$504.00	$807.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $265.36 / $509.20 / $809.98	Professional		$265.36	$509.20	$809.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $192.72 / $691.04	Professional		$38.57	$192.72	$691.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $437.63 / $607.69 / $692.78	Facility		$437.63	$607.69	$692.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $450.74 / $472.54	Facility		$77.31	$450.74	$472.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $472.54 / $719.81 / $869.00	Professional		$472.54	$719.81	$869.00
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 $444.73 / $638.51 / $860.48	Professional		$444.73	$638.51	$860.48
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 $383.35 / $558.77 / $969.96	Professional		$383.35	$558.77	$969.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $287.94 / $356.42 / $385.62	Professional		$287.94	$356.42	$385.62