Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.52 / $87.08 / $97.49	Professional		$37.52	$87.08	$97.49
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $175.68 / $486.30 / $10,000.00	Facility		$175.68	$486.30	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $84.30 / $710.69 / $741.08	Professional		$84.30	$710.69	$741.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.62 / $43.62 / $43.62	Professional		$43.62	$43.62	$43.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $63.55 / $109.11 / $270.11	Facility		$63.55	$109.11	$270.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.15 / $108.75 / $202.37	Professional		$64.15	$108.75	$202.37
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 $49.00 / $103.29 / $111.34	Facility		$49.00	$103.29	$111.34
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 $41.92 / $45.34 / $86.49	Professional		$41.92	$45.34	$86.49