Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.64 / $54.21 / $61.90	Professional		$25.64	$54.21	$61.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $110.84 / $327.08 / $10,000.00	Facility		$110.84	$327.08	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $57.60 / $397.30 / $606.23	Professional		$57.60	$397.30	$606.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.80 / $29.80 / $29.80	Professional		$29.80	$29.80	$29.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $43.71 / $74.80 / $182.10	Facility		$43.71	$74.80	$182.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $74.73 / $138.05	Professional		$44.11	$74.73	$138.05
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 / $72.40 / $75.06	Facility		$36.00	$72.40	$75.06
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 $28.63 / $30.97 / $59.09	Professional		$28.63	$30.97	$59.09