Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.39 / $59.90 / $64.23	Professional		$28.39	$59.90	$64.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $121.15 / $361.02 / $10,000.00	Facility		$121.15	$361.02	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $63.08 / $413.57 / $631.04	Professional		$63.08	$413.57	$631.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.92 / $32.92 / $32.92	Professional		$32.92	$32.92	$32.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $48.05 / $79.23 / $196.87	Facility		$48.05	$79.23	$196.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.49 / $78.92 / $153.49	Professional		$48.49	$78.92	$153.49
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 / $71.65 / $76.81	Facility		$36.00	$71.65	$76.81
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 $31.63 / $34.21 / $65.28	Professional		$31.63	$34.21	$65.28