Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.82 / $45.01 / $51.70	Professional		$22.82	$45.01	$51.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $97.25 / $280.66 / $10,000.00	Facility		$97.25	$280.66	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $52.02 / $332.40 / $507.23	Professional		$52.02	$332.40	$507.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.93 / $24.93 / $24.93	Professional		$24.93	$24.93	$24.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $36.27 / $59.53 / $148.12	Facility		$36.27	$59.53	$148.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $59.57 / $115.76	Professional		$36.76	$59.57	$115.76
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 / $53.83 / $56.03	Facility		$23.50	$53.83	$56.03
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 $23.96 / $25.91 / $49.44	Professional		$23.96	$25.91	$49.44