Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $27.38 / $50.58	Professional		$16.32	$27.38	$50.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $43.23 / $257.38 / $10,000.00	Facility		$43.23	$257.38	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $67.03 / $913.97	Professional		$28.18	$67.03	$913.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.54 / $38.02 / $76.64	Professional		$18.54	$38.02	$76.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $34.57 / $101.65 / $259.68	Facility		$34.57	$101.65	$259.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $66.98 / $66.98	Professional		$66.98	$66.98	$66.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $14.36 / $14.59	Professional		$13.06	$14.36	$14.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.63 / $41.06 / $61.00	Facility		$33.63	$41.06	$61.00
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 / $41.05 / $53.61	Professional		$28.18	$41.05	$53.61
United Facility/Professional Professional Modifier Low / Median / High Price $24.36 / $34.79 / $71.20	Professional		$24.36	$34.79	$71.20