Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.72 / $58.77 / $65.17	Professional		$29.72	$58.77	$65.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $133.46 / $378.38 / $10,000.00	Facility		$133.46	$378.38	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $69.48 / $441.79 / $651.53	Professional		$69.48	$441.79	$651.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $34.54 / $34.54	Professional		$34.54	$34.54	$34.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $50.53 / $82.02 / $197.21	Facility		$50.53	$82.02	$197.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.02 / $82.78 / $160.35	Professional		$51.02	$82.78	$160.35
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 / $70.29 / $82.65	Facility		$36.00	$70.29	$82.65
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 Facility Modifier Low / Median / High Price $71.98 / $71.98 / $71.98	Facility		$71.98	$71.98	$71.98
United Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $35.90 / $68.51	Professional		$33.20	$35.90	$68.51