Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.84 / $71.26 / $88.04	Professional		$35.84	$71.26	$88.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $149.01 / $438.24 / $10,000.00	Facility		$149.01	$438.24	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $75.76 / $538.41 / $796.73	Professional		$75.76	$538.41	$796.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $39.15 / $39.15	Professional		$39.15	$39.15	$39.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $57.35 / $93.91 / $233.43	Facility		$57.35	$93.91	$233.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.88 / $94.20 / $181.79	Professional		$57.88	$94.20	$181.79
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 / $85.23 / $100.17	Facility		$23.50	$85.23	$100.17
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 $37.63 / $40.70 / $77.65	Professional		$37.63	$40.70	$77.65