Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $67.84 / $72.75	Professional		$32.00	$67.84	$72.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $125.22 / $404.31 / $10,000.00	Facility		$125.22	$404.31	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $77.53 / $434.11 / $662.40	Professional		$77.53	$434.11	$662.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $37.20 / $37.20	Professional		$37.20	$37.20	$37.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $54.25 / $89.04 / $222.18	Facility		$54.25	$89.04	$222.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.77 / $89.11 / $172.35	Professional		$54.77	$89.11	$172.35
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 / $81.14 / $83.73	Facility		$36.00	$81.14	$83.73
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 $35.75 / $38.65 / $73.76	Professional		$35.75	$38.65	$73.76