Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.19 / $68.37 / $123.55	Professional		$31.19	$68.37	$123.55
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $151.40 / $10,000.00 / $10,000.00	Facility		$151.40	$10,000.00	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $57.31 / $322.64 / $744.38	Professional		$57.31	$322.64	$744.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $87.55 / $215.99	Professional		$38.97	$87.55	$215.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $42.42 / $82.75 / $183.02	Facility		$42.42	$82.75	$183.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.17 / $87.71 / $201.47	Professional		$43.17	$87.71	$201.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.02 / $47.55 / $102.58	Professional		$19.02	$47.55	$102.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $60.16 / $149.91 / $174.20	Facility		$60.16	$149.91	$174.20
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 $47.59 / $110.50 / $191.60	Professional		$47.59	$110.50	$191.60
United Facility/Professional Professional Modifier Low / Median / High Price $84.73 / $126.36 / $236.14	Professional		$84.73	$126.36	$236.14