Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $43.91 / $50.14	Professional		$22.72	$43.91	$50.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $92.45 / $287.16 / $10,000.00	Facility		$92.45	$287.16	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $51.05 / $339.54 / $504.90	Professional		$51.05	$339.54	$504.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $25.82 / $25.82	Professional		$25.82	$25.82	$25.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $37.51 / $60.79 / $147.38	Facility		$37.51	$60.79	$147.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.89 / $61.61 / $120.05	Professional		$37.89	$61.61	$120.05
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 / $52.53 / $68.18	Facility		$23.50	$52.53	$68.18
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 $24.81 / $26.83 / $51.20	Professional		$24.81	$26.83	$51.20