Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $419.94 / $813.09 / $12,214.00	Facility		$419.94	$813.09	$12,214.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $314.95 / $462.30 / $626.73	Facility	54	$314.95	$462.30	$626.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.72 / $394.62 / $797.89	Professional		$259.72	$394.62	$797.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $207.54 / $365.27 / $600.77	Professional		$207.54	$365.27	$600.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $428.54 / $734.04 / $2,000.00	Facility		$428.54	$734.04	$2,000.00
Asuris Northwest Health Facility/Professional Facility Modifier 54 Low / Median / High Price $538.90 / $956.89 / $956.89	Facility	54	$538.90	$956.89	$956.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $437.05 / $700.70 / $2,601.08	Professional		$437.05	$700.70	$2,601.08
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 $315.44 / $573.19 / $990.65	Professional		$315.44	$573.19	$990.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $242.28 / $493.22 / $782.17	Facility		$242.28	$493.22	$782.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $255.45 / $502.56 / $786.09	Professional		$255.45	$502.56	$786.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $182.17 / $611.84	Professional		$38.47	$182.17	$611.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $414.56 / $600.99 / $656.60	Facility		$414.56	$600.99	$656.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $428.54 / $447.86	Facility		$77.31	$428.54	$447.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $447.86 / $671.87 / $828.04	Professional		$447.86	$671.87	$828.04
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 $419.59 / $602.89 / $808.30	Professional		$419.59	$602.89	$808.30
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 $378.42 / $522.58 / $930.74	Professional		$378.42	$522.58	$930.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $272.48 / $332.77 / $365.91	Professional		$272.48	$332.77	$365.91