Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.26 / $53.91 / $66.45	Professional		$25.26	$53.91	$66.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $103.92 / $317.68 / $10,000.00	Facility		$103.92	$317.68	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $61.07 / $368.02 / $561.53	Professional		$61.07	$368.02	$561.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.56 / $28.56 / $28.56	Professional		$28.56	$28.56	$28.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $41.54 / $69.95 / $170.62	Facility		$41.54	$69.95	$170.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $68.28 / $132.91	Professional		$42.02	$68.28	$132.91
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 / $64.48 / $66.03	Facility		$23.50	$64.48	$66.03
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 $27.45 / $29.69 / $56.64	Professional		$27.45	$29.69	$56.64