Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.89 / $50.49 / $65.05	Professional		$26.89	$50.49	$65.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $104.92 / $326.38 / $10,000.00	Facility		$104.92	$326.38	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $62.82 / $391.78 / $597.75	Professional		$62.82	$391.78	$597.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $29.38 / $29.38	Professional		$29.38	$29.38	$29.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $43.09 / $69.58 / $167.75	Facility		$43.09	$69.58	$167.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.49 / $70.39 / $136.34	Professional		$43.49	$70.39	$136.34
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 / $59.78 / $61.21	Facility		$22.50	$59.78	$61.21
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 $28.24 / $30.54 / $58.26	Professional		$28.24	$30.54	$58.26