Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.77 / $44.91 / $48.41	Professional		$21.77	$44.91	$48.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $91.39 / $269.47 / $10,000.00	Facility		$91.39	$269.47	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $45.96 / $328.98 / $483.83	Professional		$45.96	$328.98	$483.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.78 / $23.78 / $23.78	Professional		$23.78	$23.78	$23.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $34.72 / $58.57 / $141.56	Facility		$34.72	$58.57	$141.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.04 / $57.03 / $109.76	Professional		$35.04	$57.03	$109.76
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 / $53.99 / $66.06	Facility		$23.50	$53.99	$66.06
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 $22.34 / $24.71 / $47.15	Professional		$22.34	$24.71	$47.15