Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $76.93 / $86.00	Professional		$35.29	$76.93	$86.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $133.56 / $445.63 / $10,000.00	Facility		$133.56	$445.63	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $86.61 / $466.39 / $707.70	Professional		$86.61	$466.39	$707.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $41.03 / $41.03	Professional		$41.03	$41.03	$41.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $59.83 / $99.81 / $244.68	Facility		$59.83	$99.81	$244.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.40 / $98.27 / $190.36	Professional		$60.40	$98.27	$190.36
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 / $92.01 / $94.22	Facility		$36.00	$92.01	$94.22
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 $39.43 / $42.65 / $81.36	Professional		$39.43	$42.65	$81.36