Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.26 / $65.94 / $74.37	Professional		$32.26	$65.94	$74.37
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $131.38 / $397.43 / $10,000.00	Facility		$131.38	$397.43	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $82.51 / $474.71 / $717.08	Professional		$82.51	$474.71	$717.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.14 / $36.14 / $36.14	Professional		$36.14	$36.14	$36.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $53.01 / $86.51 / $216.56	Facility		$53.01	$86.51	$216.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.50 / $86.82 / $168.07	Professional		$53.50	$86.82	$168.07
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 / $78.22 / $80.09	Facility		$23.50	$78.22	$80.09
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 $33.95 / $37.57 / $71.68	Professional		$33.95	$37.57	$71.68