Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.32 / $460.01 / $17,930.00	Facility		$248.32	$460.01	$17,930.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $187.31 / $275.25 / $391.49	Facility	54	$187.31	$275.25	$391.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.71 / $248.32 / $484.91	Professional		$153.71	$248.32	$484.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $491.30 / $491.30 / $491.30	Professional		$491.30	$491.30	$491.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $232.18 / $668.30 / $3,930.50	Facility		$232.18	$668.30	$3,930.50
Asuris Northwest Health Facility/Professional Facility Modifier 54 Low / Median / High Price $283.22 / $638.98 / $638.98	Facility	54	$283.22	$638.98	$638.98
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $273.08 / $443.31 / $1,723.65	Professional		$273.08	$443.31	$1,723.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.50 / $296.50 / $296.50	Facility		$296.50	$296.50	$296.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.43 / $363.06 / $613.60	Professional		$187.43	$363.06	$613.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $177.92 / $307.17 / $474.37	Facility		$177.92	$307.17	$474.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.56 / $309.44 / $476.08	Professional		$178.56	$309.44	$476.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $153.51 / $427.59	Professional		$31.89	$153.51	$427.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $244.35 / $349.74 / $397.31	Facility		$244.35	$349.74	$397.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $255.04 / $271.00	Facility		$77.31	$255.04	$271.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.20 / $428.52 / $537.91	Professional		$274.20	$428.52	$537.91
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 $261.95 / $384.68 / $513.05	Professional		$261.95	$384.68	$513.05
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 $214.24 / $308.57 / $551.94	Professional		$214.24	$308.57	$551.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $166.47 / $223.38 / $226.14	Professional		$166.47	$223.38	$226.14