Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $68.75 / $77.38	Professional		$31.07	$68.75	$77.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $145.49 / $405.85 / $10,000.00	Facility		$145.49	$405.85	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $77.93 / $487.04 / $551.17	Professional		$77.93	$487.04	$551.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $36.11 / $36.11	Professional		$36.11	$36.11	$36.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $52.70 / $90.15 / $214.68	Facility		$52.70	$90.15	$214.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.27 / $86.56 / $167.21	Professional		$53.27	$86.56	$167.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Professional		$70.00	$70.00	$70.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $83.11 / $85.10 / $88.18	Facility		$83.11	$85.10	$88.18
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
United Facility/Professional Professional Modifier Low / Median / High Price $34.71 / $37.54 / $71.63	Professional		$34.71	$37.54	$71.63