Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $50.26 / $53.43	Professional		$23.88	$50.26	$53.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.35 / $287.73 / $10,000.00	Facility		$90.35	$287.73	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $52.12 / $347.90 / $530.85	Professional		$52.12	$347.90	$530.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $26.22 / $26.22	Professional		$26.22	$26.22	$26.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $38.13 / $65.25 / $156.56	Facility		$38.13	$65.25	$156.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.64 / $63.60 / $121.76	Professional		$38.64	$63.60	$121.76
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 / $60.08 / $63.60	Facility		$23.50	$60.08	$63.60
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 $25.19 / $27.25 / $51.99	Professional		$25.19	$27.25	$51.99