Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.83 / $914.63 / $14,464.32	Facility		$462.83	$914.63	$14,464.32
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $347.12 / $506.52 / $685.97	Facility	54	$347.12	$506.52	$685.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.17 / $425.94 / $902.15	Professional		$288.17	$425.94	$902.15
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 $605.32 / $1,078.76 / $1,078.76	Facility	54	$605.32	$1,078.76	$1,078.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $482.79 / $782.29 / $2,937.08	Professional		$482.79	$782.29	$2,937.08
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 $346.55 / $644.54 / $1,098.10	Professional		$346.55	$644.54	$1,098.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $249.06 / $543.40 / $855.76	Facility		$249.06	$543.40	$855.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $279.33 / $546.72 / $866.12	Professional		$279.33	$546.72	$866.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.60 / $196.60 / $719.07	Professional		$38.60	$196.60	$719.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $448.47 / $656.60 / $728.96	Facility		$448.47	$656.60	$728.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $473.39 / $497.22	Facility		$77.31	$473.39	$497.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $497.22 / $754.81 / $916.17	Professional		$497.22	$754.81	$916.17
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 $468.90 / $668.58 / $903.93	Professional		$468.90	$668.58	$903.93
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 $398.00 / $554.96 / $1,032.10	Professional		$398.00	$554.96	$1,032.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $303.12 / $374.72 / $406.29	Professional		$303.12	$374.72	$406.29