Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $440.12 / $830.51 / $11,522.02	Facility		$440.12	$830.51	$11,522.02
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $330.09 / $478.63 / $635.41	Facility	54	$330.09	$478.63	$635.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.07 / $399.29 / $830.51	Professional		$266.07	$399.29	$830.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $452.09 / $733.95 / $2,653.95	Facility		$452.09	$733.95	$2,653.95
Asuris Northwest Health Facility/Professional Facility Modifier 54 Low / Median / High Price $559.36 / $997.15 / $997.15	Facility	54	$559.36	$997.15	$997.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $461.08 / $737.93 / $2,705.93	Professional		$461.08	$737.93	$2,705.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.39 / $670.00 / $761.81	Facility		$305.39	$670.00	$761.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.89 / $594.69 / $1,045.28	Professional		$325.89	$594.69	$1,045.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $242.28 / $502.49 / $794.30	Facility		$242.28	$502.49	$794.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.08 / $507.84 / $813.60	Professional		$262.08	$507.84	$813.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.95 / $130.94 / $675.21	Professional		$28.95	$130.94	$675.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $441.86 / $609.00 / $692.78	Facility		$441.86	$609.00	$692.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $452.09 / $472.54	Facility		$77.31	$452.09	$472.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $472.54 / $697.75 / $867.00	Professional		$472.54	$697.75	$867.00
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 $434.09 / $635.83 / $852.84	Professional		$434.09	$635.83	$852.84
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 $373.20 / $504.57 / $930.31	Professional		$373.20	$504.57	$930.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $287.94 / $346.87 / $387.13	Professional		$287.94	$346.87	$387.13