Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.39 / $676.75 / $14,464.32	Facility		$320.39	$676.75	$14,464.32
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $240.30 / $347.99 / $472.36	Facility	54	$240.30	$347.99	$472.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.03 / $300.98 / $629.80	Professional		$200.03	$300.98	$629.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $232.18 / $667.91 / $1,278.36	Facility		$232.18	$667.91	$1,278.36
Asuris Northwest Health Facility/Professional Facility Modifier 54 Low / Median / High Price $396.22 / $701.49 / $701.49	Facility	54	$396.22	$701.49	$701.49
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $332.18 / $532.05 / $1,894.73	Professional		$332.18	$532.05	$1,894.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.39 / $305.39 / $305.39	Facility		$305.39	$305.39	$305.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.83 / $429.24 / $739.24	Professional		$235.83	$429.24	$739.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $205.76 / $375.84 / $596.52	Facility		$205.76	$375.84	$596.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $205.76 / $375.84 / $596.52	Professional		$205.76	$375.84	$596.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.69 / $233.34 / $518.34	Professional		$40.69	$233.34	$518.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $306.89 / $448.90 / $499.82	Facility		$306.89	$448.90	$499.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $325.70 / $340.92	Facility		$77.31	$325.70	$340.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.92 / $499.25 / $619.26	Professional		$340.92	$499.25	$619.26
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 $304.54 / $453.26 / $608.39	Professional		$304.54	$453.26	$608.39
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 $278.50 / $400.38 / $707.70	Professional		$278.50	$400.38	$707.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $207.61 / $244.26 / $279.77	Professional		$207.61	$244.26	$279.77