Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.25 / $28.27 / $47.85	Professional		$17.25	$28.27	$47.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $81.76 / $10,000.00 / $10,000.00	Facility		$81.76	$10,000.00	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $27.93 / $129.35 / $295.88	Professional		$27.93	$129.35	$295.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.67 / $42.99 / $89.61	Professional		$20.67	$42.99	$89.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $22.55 / $42.29 / $78.06	Facility		$22.55	$42.29	$78.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.27 / $43.85 / $86.19	Professional		$23.27	$43.85	$86.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.56 / $41.12 / $79.08	Professional		$20.56	$41.12	$79.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $61.57 / $69.68	Facility		$23.50	$61.57	$69.68
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 $25.41 / $46.59 / $74.31	Professional		$25.41	$46.59	$74.31
United Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $52.47 / $95.04	Professional		$38.61	$52.47	$95.04