Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.90 / $419.29 / $14,464.32	Facility		$188.90	$419.29	$14,464.32
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $141.68 / $215.60 / $294.38	Facility	54	$141.68	$215.60	$294.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.55 / $177.87 / $372.15	Professional		$118.55	$177.87	$372.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $190.26 / $626.41 / $1,278.36	Facility		$190.26	$626.41	$1,278.36
Asuris Northwest Health Facility/Professional Facility Modifier 54 Low / Median / High Price $236.96 / $416.44 / $416.44	Facility	54	$236.96	$416.44	$416.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $194.04 / $313.58 / $1,116.59	Professional		$194.04	$313.58	$1,116.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.80 / $239.80 / $239.80	Facility		$239.80	$239.80	$239.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.35 / $256.85 / $440.49	Professional		$138.35	$256.85	$440.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $131.97 / $231.29 / $372.45	Facility		$131.97	$231.29	$372.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.13 / $236.77 / $367.22	Professional		$131.13	$236.77	$367.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.99 / $116.13 / $292.60	Professional		$26.99	$116.13	$292.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $178.94 / $272.69 / $294.80	Facility		$178.94	$272.69	$294.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.75 / $190.26 / $215.46	Facility		$71.75	$190.26	$215.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.08 / $295.01 / $362.74	Professional		$201.08	$295.01	$362.74
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 $186.38 / $267.80 / $357.73	Professional		$186.38	$267.80	$357.73
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 $165.51 / $237.04 / $408.82	Professional		$165.51	$237.04	$408.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.13 / $146.49 / $167.41	Professional		$123.13	$146.49	$167.41