Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.36 / $55.37 / $73.48	Professional		$29.36	$55.37	$73.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $122.07 / $358.11 / $10,000.00	Facility		$122.07	$358.11	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $441.05 / $652.58	Professional		$62.00	$441.05	$652.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.08 / $32.08 / $32.08	Professional		$32.08	$32.08	$32.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $47.12 / $76.00 / $185.82	Facility		$47.12	$76.00	$185.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.56 / $77.08 / $149.19	Professional		$47.56	$77.08	$149.19
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 $23.50 / $66.23 / $67.81	Facility		$23.50	$66.23	$67.81
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 $30.82 / $33.34 / $63.61	Professional		$30.82	$33.34	$63.61