Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.93 / $649.70 / $14,464.32	Facility		$328.93	$649.70	$14,464.32
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $246.70 / $366.17 / $497.28	Facility	54	$246.70	$366.17	$497.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.63 / $315.29 / $647.60	Professional		$213.63	$315.29	$647.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $465.15 / $465.15 / $465.15	Professional		$465.15	$465.15	$465.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $388.99 / $694.04 / $11,500.00	Facility		$388.99	$694.04	$11,500.00
Asuris Northwest Health Facility/Professional Facility Modifier 54 Low / Median / High Price $432.52 / $764.03 / $764.03	Facility	54	$432.52	$764.03	$764.03
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $343.88 / $554.91 / $2,067.15	Professional		$343.88	$554.91	$2,067.15
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 $250.17 / $458.14 / $780.09	Professional		$250.17	$458.14	$780.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $215.14 / $396.86 / $625.42	Facility		$215.14	$396.86	$625.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $220.72 / $400.23 / $625.42	Professional		$220.72	$400.23	$625.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $207.33 / $537.05	Professional		$37.39	$207.33	$537.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $342.58 / $475.03 / $515.90	Facility		$342.58	$475.03	$515.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $334.77 / $351.89	Facility		$77.31	$334.77	$351.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.89 / $533.39 / $648.58	Professional		$351.89	$533.39	$648.58
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 $331.13 / $473.17 / $639.24	Professional		$331.13	$473.17	$639.24
United Facility/Professional Facility Modifier Low / Median / High Price $217.52 / $840.90 / $1,650.96	Facility		$217.52	$840.90	$1,650.96
United Facility/Professional Professional Modifier Low / Median / High Price $297.79 / $397.05 / $717.26	Professional		$297.79	$397.05	$717.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $214.23 / $267.02 / $288.73	Professional		$214.23	$267.02	$288.73