Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $73.05 / $144.31	Professional		$29.84	$73.05	$144.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $181.31 / $10,000.00 / $10,000.00	Facility		$181.31	$10,000.00	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $55.11 / $371.85 / $866.10	Professional		$55.11	$371.85	$866.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $91.73 / $254.54	Professional		$37.11	$91.73	$254.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $43.48 / $93.75 / $246.40	Facility		$43.48	$93.75	$246.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.12 / $90.74 / $246.40	Professional		$45.12	$90.74	$246.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.13 / $156.68 / $276.14	Professional		$27.13	$156.68	$276.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $59.93 / $172.86 / $203.01	Facility		$59.93	$172.86	$203.01
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 $42.50 / $107.88 / $219.28	Professional		$42.50	$107.88	$219.28
United Facility/Professional Professional Modifier Low / Median / High Price $47.84 / $135.24 / $259.94	Professional		$47.84	$135.24	$259.94