Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.21 / $68.95 / $70.75	Professional		$33.21	$68.95	$70.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $117.64 / $407.82 / $10,000.00	Facility		$117.64	$407.82	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $73.22 / $509.35 / $738.23	Professional		$73.22	$509.35	$738.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $37.88 / $37.88	Professional		$37.88	$37.88	$37.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $55.49 / $90.81 / $225.93	Facility		$55.49	$90.81	$225.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $91.14 / $175.78	Professional		$56.00	$91.14	$175.78
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 / $82.48 / $102.28	Facility		$36.00	$82.48	$102.28
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 $36.40 / $39.36 / $75.12	Professional		$36.40	$39.36	$75.12