Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.71 / $86.79 / $147.76	Professional		$55.71	$86.79	$147.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $31.50 / $31.50	Professional		$31.50	$31.50	$31.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $255.86 / $10,000.00 / $10,000.00	Facility		$255.86	$10,000.00	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $82.82 / $373.15 / $849.45	Professional		$82.82	$373.15	$849.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $119.52 / $255.88	Professional		$65.84	$119.52	$255.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $71.81 / $120.00 / $218.39	Facility		$71.81	$120.00	$218.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.14 / $124.80 / $236.85	Professional		$72.14	$124.80	$236.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.52 / $64.34 / $125.49	Professional		$32.52	$64.34	$125.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $100.83 / $180.90 / $200.33	Facility		$100.83	$180.90	$200.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility		$10,000.00	$10,000.00	$10,000.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Professional		$10,000.00	$10,000.00	$10,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $139.06 / $219.28	Professional		$79.45	$139.06	$219.28
United Facility/Professional Professional Modifier Low / Median / High Price $80.23 / $132.30 / $250.70	Professional		$80.23	$132.30	$250.70