Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.10 / $863.67 / $13,750.00	Facility		$444.10	$863.67	$13,750.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $333.08 / $487.26 / $660.45	Facility	54	$333.08	$487.26	$660.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.68 / $442.50 / $863.67	Professional		$276.68	$442.50	$863.67
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 $580.80 / $1,032.09 / $1,032.09	Facility	54	$580.80	$1,032.09	$1,032.09
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $462.00 / $745.75 / $2,789.18	Professional		$462.00	$745.75	$2,789.18
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 $333.61 / $614.91 / $1,054.46	Professional		$333.61	$614.91	$1,054.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $242.28 / $521.55 / $828.18	Facility		$242.28	$521.55	$828.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.39 / $530.40 / $829.53	Professional		$269.39	$530.40	$829.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $192.89 / $691.04	Professional		$38.57	$192.89	$691.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $423.00 / $634.49 / $698.81	Facility		$423.00	$634.49	$698.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $453.00 / $476.65	Facility		$77.31	$453.00	$476.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $476.65 / $716.01 / $875.86	Professional		$476.65	$716.01	$875.86
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 $446.66 / $640.91 / $864.07	Professional		$446.66	$640.91	$864.07
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 $396.00 / $545.29 / $969.00	Professional		$396.00	$545.29	$969.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $291.52 / $359.10 / $391.46	Professional		$291.52	$359.10	$391.46