Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.18 / $81.51 / $87.41	Professional		$38.18	$81.51	$87.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $141.82 / $481.56 / $10,000.00	Facility		$141.82	$481.56	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $94.91 / $613.92 / $774.60	Professional		$94.91	$613.92	$774.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.38 / $44.38 / $44.38	Professional		$44.38	$44.38	$44.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $64.79 / $106.32 / $264.37	Facility		$64.79	$106.32	$264.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.39 / $106.42 / $205.80	Professional		$65.39	$106.42	$205.80
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 / $97.48 / $123.28	Facility		$36.00	$97.48	$123.28
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 $42.65 / $46.13 / $88.01	Professional		$42.65	$46.13	$88.01