Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $62.06 / $123.33	Professional		$19.88	$62.06	$123.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $138.13 / $10,000.00 / $10,000.00	Facility		$138.13	$10,000.00	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $35.81 / $318.27 / $743.85	Professional		$35.81	$318.27	$743.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.29 / $65.45 / $217.08	Professional		$24.29	$65.45	$217.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $26.93 / $69.75 / $186.18	Facility		$26.93	$69.75	$186.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.46 / $62.81 / $198.11	Professional		$27.46	$62.81	$198.11
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 $43.55 / $142.71 / $173.53	Facility		$43.55	$142.71	$173.53
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 / $186.50	Professional		$28.18	$71.53	$186.50
United Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $122.96 / $228.37	Professional		$81.20	$122.96	$228.37