Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $507.78 / $1,089.66 / $14,464.32	Facility		$507.78	$1,089.66	$14,464.32
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $380.84 / $563.47 / $817.25	Facility	54	$380.84	$563.47	$817.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.80 / $507.78 / $1,089.66	Professional		$387.80	$507.78	$1,089.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $507.80 / $694.04 / $11,500.00	Facility		$507.80	$694.04	$11,500.00
Asuris Northwest Health Facility/Professional Facility Modifier 54 Low / Median / High Price $709.81 / $1,275.83 / $1,275.83	Facility	54	$709.81	$1,275.83	$1,275.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $552.61 / $905.47 / $3,469.20	Professional		$552.61	$905.47	$3,469.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.39 / $500.00 / $568.48	Facility		$305.39	$500.00	$568.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.66 / $749.22 / $1,220.38	Professional		$404.66	$749.22	$1,220.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $267.82 / $634.79 / $972.07	Facility		$267.82	$634.79	$972.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $318.70 / $629.53 / $973.83	Professional		$318.70	$629.53	$973.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.62 / $208.71 / $790.39	Professional		$38.62	$208.71	$790.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $533.42 / $737.67 / $806.68	Facility		$533.42	$737.67	$806.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $530.46 / $550.23	Facility		$77.31	$530.46	$550.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $554.11 / $860.86 / $1,081.26	Professional		$554.11	$860.86	$1,081.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $495.66 / $681.04 / $1,278.36	Facility		$495.66	$681.04	$1,278.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $541.00 / $775.37 / $1,032.27	Professional		$541.00	$775.37	$1,032.27
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 $476.84 / $615.44 / $1,124.03	Professional		$476.84	$615.44	$1,124.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $335.15 / $435.84 / $439.79	Professional		$335.15	$435.84	$439.79