Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.60 / $74.25 / $84.85	Professional		$36.60	$74.25	$84.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $162.19 / $465.47 / $10,000.00	Facility		$162.19	$465.47	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $84.45 / $588.59 / $734.93	Professional		$84.45	$588.59	$734.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.55 / $42.55 / $42.55	Professional		$42.55	$42.55	$42.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $62.00 / $106.10 / $253.12	Facility		$62.00	$106.10	$253.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.65 / $102.88 / $197.22	Professional		$62.65	$102.88	$197.22
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 / $100.47 / $118.19	Facility		$36.00	$100.47	$118.19
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 $40.88 / $44.22 / $84.37	Professional		$40.88	$44.22	$84.37