Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.71 / $31.29 / $54.18	Professional		$21.71	$31.29	$54.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $93.01 / $10,000.00 / $10,000.00	Facility		$93.01	$10,000.00	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $35.75 / $148.78 / $338.25	Professional		$35.75	$148.78	$338.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $48.56 / $101.72	Professional		$26.78	$48.56	$101.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $28.85 / $50.40 / $90.20	Facility		$28.85	$50.40	$90.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.49 / $52.04 / $98.83	Professional		$29.49	$52.04	$98.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.55 / $60.43 / $120.86	Professional		$23.55	$60.43	$120.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $70.73 / $79.73	Facility		$36.00	$70.73	$79.73
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 $31.88 / $53.59 / $84.51	Professional		$31.88	$53.59	$84.51
United Facility/Professional Professional Modifier Low / Median / High Price $40.88 / $59.80 / $110.09	Professional		$40.88	$59.80	$110.09