Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $59.12 / $117.34	Professional		$19.88	$59.12	$117.34
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $93.83 / $10,000.00 / $10,000.00	Facility		$93.83	$10,000.00	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $38.46 / $301.08 / $703.05	Professional		$38.46	$301.08	$703.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.51 / $62.66 / $206.13	Professional		$24.51	$62.66	$206.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $28.32 / $66.65 / $190.25	Facility		$28.32	$66.65	$190.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $60.40 / $193.01	Professional		$28.98	$60.40	$193.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $104.65 / $186.70	Professional		$18.05	$104.65	$186.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $44.42 / $139.08 / $164.15	Facility		$44.42	$139.08	$164.15
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 $28.18 / $71.53 / $177.75	Professional		$28.18	$71.53	$177.75
United Facility/Professional Professional Modifier Low / Median / High Price $80.12 / $117.28 / $215.54	Professional		$80.12	$117.28	$215.54