Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $453.03 / $890.90 / $10,653.22	Facility		$453.03	$890.90	$10,653.22
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $339.77 / $494.34 / $662.24	Facility	54	$339.77	$494.34	$662.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.32 / $427.16 / $882.99	Professional		$276.32	$427.16	$882.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $408.94 / $408.94 / $408.94	Professional		$408.94	$408.94	$408.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $232.18 / $668.30 / $1,483.12	Facility		$232.18	$668.30	$1,483.12
Asuris Northwest Health Facility/Professional Facility Modifier 54 Low / Median / High Price $571.23 / $1,020.47 / $1,020.47	Facility	54	$571.23	$1,020.47	$1,020.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $475.86 / $762.20 / $2,770.80	Professional		$475.86	$762.20	$2,770.80
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 $335.68 / $606.67 / $1,065.73	Professional		$335.68	$606.67	$1,065.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $247.19 / $524.83 / $828.71	Facility		$247.19	$524.83	$828.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $268.14 / $528.48 / $846.66	Professional		$268.14	$528.48	$846.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $193.64 / $719.52	Professional		$38.57	$193.64	$719.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $416.40 / $637.16 / $717.57	Facility		$416.40	$637.16	$717.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $466.59 / $489.45	Facility		$77.31	$466.59	$489.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.45 / $717.68 / $893.25	Professional		$489.45	$717.68	$893.25
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 $442.79 / $658.13 / $875.06	Professional		$442.79	$658.13	$875.06
United Facility/Professional Facility Modifier Low / Median / High Price $546.00 / $857.96 / $1,650.96	Facility		$546.00	$857.96	$1,650.96
United Facility/Professional Professional Modifier Low / Median / High Price $409.50 / $569.88 / $1,001.30	Professional		$409.50	$569.88	$1,001.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $298.43 / $352.15 / $398.71	Professional		$298.43	$352.15	$398.71