Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.25 / $36.17 / $64.34	Professional		$17.25	$36.17	$64.34
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $68.12 / $10,000.00 / $10,000.00	Facility		$68.12	$10,000.00	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $30.40 / $161.25 / $371.55	Professional		$30.40	$161.25	$371.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.67 / $47.17 / $110.05	Professional		$20.67	$47.17	$110.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $56.85 / $172.05 / $499.13	Facility		$56.85	$172.05	$499.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $48.71 / $128.44	Professional		$48.71	$48.71	$128.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.42 / $106.88 / $330.41	Professional		$25.42	$106.88	$330.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.51 / $76.38 / $87.10	Facility		$35.51	$76.38	$87.10
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 / $45.47 / $97.89	Professional		$25.41	$45.47	$97.89
United Facility/Professional Professional Modifier Low / Median / High Price $47.12 / $65.72 / $120.34	Professional		$47.12	$65.72	$120.34