Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $48.44 / $61.45	Professional		$25.80	$48.44	$61.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $89.09 / $308.83 / $10,000.00	Facility		$89.09	$308.83	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $61.89 / $375.79 / $573.45	Professional		$61.89	$375.79	$573.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.19 / $28.19 / $28.19	Professional		$28.19	$28.19	$28.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $40.92 / $66.64 / $160.93	Facility		$40.92	$66.64	$160.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.64 / $67.20 / $131.19	Professional		$41.64	$67.20	$131.19
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 $22.50 / $57.34 / $58.72	Facility		$22.50	$57.34	$58.72
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 $27.08 / $29.30 / $55.89	Professional		$27.08	$29.30	$55.89