Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.63 / $45.60 / $48.90	Professional		$21.63	$45.60	$48.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $257.91 / $10,000.00	Facility		$80.00	$257.91	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $51.36 / $315.07 / $480.75	Professional		$51.36	$315.07	$480.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $23.63 / $23.63	Professional		$23.63	$23.63	$23.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $34.40 / $58.88 / $143.84	Facility		$34.40	$58.88	$143.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.89 / $58.88 / $109.76	Professional		$34.89	$58.88	$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 / $54.15 / $59.29	Facility		$23.50	$54.15	$59.29
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 $22.70 / $24.56 / $46.85	Professional		$22.70	$24.56	$46.85