Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $56.39 / $63.35	Professional		$29.27	$56.39	$63.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $123.98 / $354.60 / $10,000.00	Facility		$123.98	$354.60	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $62.22 / $426.48 / $650.78	Professional		$62.22	$426.48	$650.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.19 / $32.19 / $32.19	Professional		$32.19	$32.19	$32.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $47.12 / $80.63 / $192.18	Facility		$47.12	$80.63	$192.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.65 / $77.39 / $150.06	Professional		$47.65	$77.39	$150.06
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 / $75.00 / $77.34	Facility		$36.00	$75.00	$77.34
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 $30.94 / $33.46 / $63.83	Professional		$30.94	$33.46	$63.83