Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $86.05 / $92.29	Professional		$36.65	$86.05	$92.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $164.82 / $469.78 / $10,000.00	Facility		$164.82	$469.78	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $82.36 / $585.98 / $671.48	Professional		$82.36	$585.98	$671.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.61 / $42.61 / $42.61	Professional		$42.61	$42.61	$42.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $62.31 / $106.63 / $255.70	Facility		$62.31	$106.63	$255.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.89 / $105.40 / $198.08	Professional		$62.89	$105.40	$198.08
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 $102.93 / $103.36 / $105.84	Facility		$102.93	$103.36	$105.84
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 $40.04 / $44.29 / $84.51	Professional		$40.04	$44.29	$84.51