Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.13 / $64.23 / $72.59	Professional		$31.13	$64.23	$72.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $124.79 / $393.31 / $10,000.00	Facility		$124.79	$393.31	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $449.23 / $685.50	Professional		$80.59	$449.23	$685.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $36.19 / $36.19	Professional		$36.19	$36.19	$36.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $53.01 / $85.68 / $215.57	Facility		$53.01	$85.68	$215.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.50 / $86.82 / $168.07	Professional		$53.50	$86.82	$168.07
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 / $76.81 / $78.66	Facility		$36.00	$76.81	$78.66
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 $34.77 / $37.61 / $71.75	Professional		$34.77	$37.61	$71.75