Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.11 / $521.00 / $11,522.02	Facility		$218.11	$521.00	$11,522.02
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $161.97 / $239.91 / $325.77	Facility	54	$161.97	$239.91	$325.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.94 / $200.30 / $411.27	Professional		$131.94	$200.30	$411.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $219.71 / $662.22 / $1,278.36	Facility		$219.71	$662.22	$1,278.36
Asuris Northwest Health Facility/Professional Facility Modifier 54 Low / Median / High Price $271.64 / $474.73 / $474.73	Facility	54	$271.64	$474.73	$474.73
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $224.07 / $360.22 / $1,276.88	Professional		$224.07	$360.22	$1,276.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.50 / $260.50 / $260.50	Facility		$260.50	$260.50	$260.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $290.39 / $505.06	Professional		$162.97	$290.39	$505.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $147.44 / $266.97 / $405.21	Facility		$147.44	$266.97	$405.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.21 / $269.04 / $405.21	Professional		$146.21	$269.04	$405.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $149.78 / $355.27	Professional		$30.32	$149.78	$355.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $196.22 / $310.08 / $341.70	Facility		$196.22	$310.08	$341.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $219.71 / $233.07	Facility		$77.31	$219.71	$233.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.07 / $339.22 / $417.13	Professional		$233.07	$339.22	$417.13
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 $214.20 / $307.99 / $412.51	Professional		$214.20	$307.99	$412.51
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 $187.62 / $265.06 / $472.15	Professional		$187.62	$265.06	$472.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.34 / $165.96 / $191.22	Professional		$141.34	$165.96	$191.22