Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.60 / $459.66 / $9,574.57	Facility		$118.60	$459.66	$9,574.57
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $59.30 / $144.44 / $299.76	Facility	52	$59.30	$144.44	$299.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.14 / $185.02 / $546.48	Professional		$71.14	$185.02	$546.48
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $35.57 / $83.66 / $229.11	Professional	52	$35.57	$83.66	$229.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $87.65 / $527.63 / $1,073.78	Facility		$87.65	$527.63	$1,073.78
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $130.91 / $233.74 / $233.74	Facility	52	$130.91	$233.74	$233.74
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $117.02 / $358.18 / $1,386.56	Professional		$117.02	$358.18	$1,386.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.49 / $148.49 / $247.38	Facility		$148.49	$148.49	$247.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.94 / $249.39 / $572.72	Professional		$103.94	$249.39	$572.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $100.28 / $195.00 / $524.79	Facility		$100.28	$195.00	$524.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.29 / $195.12 / $496.50	Professional		$99.29	$195.12	$496.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.49 / $277.14 / $455.28	Professional		$43.49	$277.14	$455.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $124.62 / $348.15 / $393.72	Facility		$124.62	$348.15	$393.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.65 / $256.39 / $257.29	Facility		$87.65	$256.39	$257.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.20 / $216.01 / $487.17	Professional		$115.20	$216.01	$487.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $409.60 / $561.02 / $1,073.78	Facility		$409.60	$561.02	$1,073.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $111.56 / $205.48 / $435.76	Professional		$111.56	$205.48	$435.76
United Facility/Professional Facility Modifier Low / Median / High Price $172.28 / $190.00 / $5,793.00	Facility		$172.28	$190.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $241.12 / $411.92 / $578.27	Professional		$241.12	$411.92	$578.27