Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.60 / $796.81 / $14,464.32	Facility		$411.60	$796.81	$14,464.32
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $308.70 / $446.26 / $600.65	Facility	54	$308.70	$446.26	$600.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.13 / $411.60 / $800.87	Professional		$315.13	$411.60	$800.87
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 $546.22 / $970.65 / $970.65	Facility	54	$546.22	$970.65	$970.65
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $430.03 / $704.52 / $2,634.15	Professional		$430.03	$704.52	$2,634.15
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 $316.77 / $580.09 / $976.83	Professional		$316.77	$580.09	$976.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $248.93 / $503.15 / $773.76	Facility		$248.93	$503.15	$773.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $266.56 / $499.67 / $779.82	Professional		$266.56	$499.67	$779.82
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 $416.19 / $582.90 / $646.54	Facility		$416.19	$582.90	$646.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $420.38 / $441.01	Facility		$77.31	$420.38	$441.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $441.01 / $672.70 / $821.83	Professional		$441.01	$672.70	$821.83
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 $421.52 / $595.60 / $802.72	Professional		$421.52	$595.60	$802.72
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 $372.76 / $516.74 / $900.60	Professional		$372.76	$516.74	$900.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $269.17 / $340.13 / $363.42	Professional		$269.17	$340.13	$363.42