Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.96 / $72.31 / $141.22	Professional		$36.96	$72.31	$141.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $192.25 / $10,000.00 / $10,000.00	Facility		$192.25	$10,000.00	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $71.44 / $360.35 / $833.85	Professional		$71.44	$360.35	$833.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.87 / $109.68 / $248.17	Professional		$49.87	$109.68	$248.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $58.57 / $111.50 / $237.97	Facility		$58.57	$111.50	$237.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $113.04 / $240.95	Professional		$60.00	$113.04	$240.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.13 / $156.48 / $275.99	Professional		$27.13	$156.48	$275.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $80.84 / $179.47 / $196.98	Facility		$80.84	$179.47	$196.98
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 $58.21 / $129.34 / $215.64	Professional		$58.21	$129.34	$215.64
United Facility/Professional Professional Modifier Low / Median / High Price $74.47 / $138.50 / $270.76	Professional		$74.47	$138.50	$270.76