Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.04 / $52.63 / $63.09	Professional		$27.04	$52.63	$63.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $101.89 / $322.73 / $10,000.00	Facility		$101.89	$322.73	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $56.77 / $393.84 / $600.98	Professional		$56.77	$393.84	$600.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $29.54 / $29.54	Professional		$29.54	$29.54	$29.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $43.40 / $74.27 / $185.56	Facility		$43.40	$74.27	$185.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.80 / $74.27 / $137.19	Professional		$43.80	$74.27	$137.19
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 $36.00 / $72.53 / $76.48	Facility		$36.00	$72.53	$76.48
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 $28.39 / $30.70 / $58.57	Professional		$28.39	$30.70	$58.57