Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $422.82 / $865.67 / $14,464.32	Facility		$422.82	$865.67	$14,464.32
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $317.12 / $458.29 / $649.25	Facility	54	$317.12	$458.29	$649.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.52 / $403.65 / $824.96	Professional		$275.52	$403.65	$824.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $566.38 / $566.38 / $566.38	Professional		$566.38	$566.38	$566.38
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 $572.97 / $1,021.52 / $1,021.52	Facility	54	$572.97	$1,021.52	$1,021.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $449.47 / $738.86 / $2,759.55	Professional		$449.47	$738.86	$2,759.55
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 $321.01 / $594.83 / $1,005.29	Professional		$321.01	$594.83	$1,005.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $242.28 / $501.97 / $784.38	Facility		$242.28	$501.97	$784.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $270.63 / $501.97 / $790.24	Professional		$270.63	$501.97	$790.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $183.99 / $649.95	Professional		$38.47	$183.99	$649.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $427.26 / $596.29 / $659.95	Facility		$427.26	$596.29	$659.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $432.62 / $450.15	Facility		$77.31	$432.62	$450.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $450.15 / $703.49 / $862.65	Professional		$450.15	$703.49	$862.65
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 $441.21 / $625.19 / $835.09	Professional		$441.21	$625.19	$835.09
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 $373.50 / $496.17 / $942.33	Professional		$373.50	$496.17	$942.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $274.69 / $353.99 / $366.22	Professional		$274.69	$353.99	$366.22