Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $35.77 / $42.11	Professional		$16.86	$35.77	$42.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $217.85 / $10,000.00	Facility		$80.00	$217.85	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $261.22 / $398.63	Professional		$34.90	$261.22	$398.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $19.59 / $19.59	Professional		$19.59	$19.59	$19.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $49.02 / $123.87	Facility		$28.52	$49.02	$123.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.89 / $49.02 / $90.89	Professional		$28.89	$49.02	$90.89
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 / $49.86 / $51.06	Facility		$23.50	$49.86	$51.06
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 $18.82 / $20.36 / $38.85	Professional		$18.82	$20.36	$38.85