Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.78 / $56.90 / $77.65	Professional		$28.78	$56.90	$77.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $110.84 / $368.60 / $10,000.00	Facility		$110.84	$368.60	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $65.19 / $462.69 / $560.33	Professional		$65.19	$462.69	$560.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.45 / $33.45 / $33.45	Professional		$33.45	$33.45	$33.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $79.09 / $190.97	Facility		$48.98	$79.09	$190.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.43 / $80.14 / $155.19	Professional		$49.43	$80.14	$155.19
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 / $68.05 / $92.91	Facility		$23.50	$68.05	$92.91
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 $32.15 / $34.76 / $66.33	Professional		$32.15	$34.76	$66.33