Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $55.77 / $62.21	Professional		$28.00	$55.77	$62.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $112.49 / $340.14 / $10,000.00	Facility		$112.49	$340.14	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $61.93 / $407.81 / $622.28	Professional		$61.93	$407.81	$622.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $31.15 / $31.15	Professional		$31.15	$31.15	$31.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $45.57 / $77.98 / $185.62	Facility		$45.57	$77.98	$185.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.99 / $75.43 / $144.06	Professional		$45.99	$75.43	$144.06
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 / $73.66 / $75.43	Facility		$36.00	$73.66	$75.43
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 $29.93 / $32.38 / $61.77	Professional		$29.93	$32.38	$61.77