Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.53 / $61.84 / $64.67	Professional		$30.53	$61.84	$64.67
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $111.04 / $365.84 / $10,000.00	Facility		$111.04	$365.84	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $68.52 / $444.72 / $678.60	Professional		$68.52	$444.72	$678.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.68 / $33.68 / $33.68	Professional		$33.68	$33.68	$33.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $49.29 / $82.68 / $201.56	Facility		$49.29	$82.68	$201.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.75 / $80.95 / $156.91	Professional		$49.75	$80.95	$156.91
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 / $76.22 / $79.70	Facility		$36.00	$76.22	$79.70
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 $32.36 / $35.01 / $66.79	Professional		$32.36	$35.01	$66.79