Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.42 / $38.04 / $46.74	Professional		$19.42	$38.04	$46.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $250.01 / $10,000.00	Facility		$80.00	$250.01	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $43.62 / $312.20 / $459.15	Professional		$43.62	$312.20	$459.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.57 / $22.57 / $22.57	Professional		$22.57	$22.57	$22.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $32.86 / $56.23 / $135.00	Facility		$32.86	$56.23	$135.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.39 / $54.02 / $104.61	Professional		$33.39	$54.02	$104.61
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 $23.50 / $52.50 / $62.69	Facility		$23.50	$52.50	$62.69
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 $21.68 / $23.46 / $44.75	Professional		$21.68	$23.46	$44.75