Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $79.48 / $87.36	Professional		$37.79	$79.48	$87.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $152.26 / $481.81 / $10,000.00	Facility		$152.26	$481.81	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $86.29 / $607.76 / $746.70	Professional		$86.29	$607.76	$746.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.93 / $43.93 / $43.93	Professional		$43.93	$43.93	$43.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $64.17 / $109.81 / $262.50	Facility		$64.17	$109.81	$262.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.90 / $105.40 / $204.08	Professional		$64.90	$105.40	$204.08
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 / $101.23 / $122.04	Facility		$36.00	$101.23	$122.04
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 $42.22 / $45.66 / $87.12	Professional		$42.22	$45.66	$87.12