Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.56 / $853.34 / $14,464.32	Facility		$449.56	$853.34	$14,464.32
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $337.17 / $489.33 / $664.59	Facility	54	$337.17	$489.33	$664.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.37 / $405.96 / $827.89	Professional		$277.37	$405.96	$827.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $410.98 / $410.98 / $410.98	Professional		$410.98	$410.98	$410.98
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 $576.03 / $1,024.70 / $1,024.70	Facility	54	$576.03	$1,024.70	$1,024.70
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $466.62 / $751.34 / $2,779.13	Professional		$466.62	$751.34	$2,779.13
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 $334.37 / $612.02 / $1,064.35	Professional		$334.37	$612.02	$1,064.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $242.28 / $522.65 / $831.17	Facility		$242.28	$522.65	$831.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $266.37 / $532.32 / $837.06	Professional		$266.37	$532.32	$837.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.55 / $192.72 / $691.34	Professional		$38.55	$192.72	$691.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $407.95 / $628.33 / $704.84	Facility		$407.95	$628.33	$704.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $457.53 / $480.76	Facility		$77.31	$457.53	$480.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $480.76 / $715.25 / $883.83	Professional		$480.76	$715.25	$883.83
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 $445.21 / $645.40 / $867.69	Professional		$445.21	$645.40	$867.69
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 $396.24 / $555.05 / $972.39	Professional		$396.24	$555.05	$972.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $293.45 / $357.37 / $395.26	Professional		$293.45	$357.37	$395.26