Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.34 / $81.20 / $96.56	Professional		$36.34	$81.20	$96.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $164.53 / $479.70 / $10,000.00	Facility		$164.53	$479.70	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $81.65 / $558.77 / $736.65	Professional		$81.65	$558.77	$736.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.25 / $42.25 / $42.25	Professional		$42.25	$42.25	$42.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $61.69 / $105.37 / $252.18	Facility		$61.69	$105.37	$252.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.28 / $101.33 / $196.36	Professional		$62.28	$101.33	$196.36
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 $85.95 / $97.14 / $99.47	Facility		$85.95	$97.14	$99.47
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 $40.60 / $43.91 / $83.78	Professional		$40.60	$43.91	$83.78