Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $434.14 / $837.32 / $14,464.32	Facility		$434.14	$837.32	$14,464.32
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $325.61 / $472.13 / $640.25	Facility	54	$325.61	$472.13	$640.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.55 / $397.72 / $835.00	Professional		$267.55	$397.72	$835.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $400.01 / $694.04 / $11,500.00	Facility		$400.01	$694.04	$11,500.00
Asuris Northwest Health Facility/Professional Facility Modifier 54 Low / Median / High Price $566.71 / $1,009.86 / $1,009.86	Facility	54	$566.71	$1,009.86	$1,009.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $452.76 / $733.63 / $2,738.93	Professional		$452.76	$733.63	$2,738.93
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 $323.35 / $601.73 / $1,031.57	Professional		$323.35	$601.73	$1,031.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $242.28 / $505.76 / $801.66	Facility		$242.28	$505.76	$801.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $261.33 / $512.64 / $813.65	Professional		$261.33	$512.64	$813.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $131.76 / $675.21	Professional		$28.98	$131.76	$675.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $410.44 / $612.38 / $684.07	Facility		$410.44	$612.38	$684.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $443.94 / $466.60	Facility		$77.31	$443.94	$466.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $466.60 / $705.35 / $856.38	Professional		$466.60	$705.35	$856.38
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 $437.96 / $627.40 / $846.10	Professional		$437.96	$627.40	$846.10
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 $383.24 / $508.75 / $940.10	Professional		$383.24	$508.75	$940.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $284.91 / $351.55 / $382.73	Professional		$284.91	$351.55	$382.73