Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.45 / $85.57 / $91.77	Professional		$42.45	$85.57	$91.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $160.40 / $519.66 / $10,000.00	Facility		$160.40	$519.66	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $101.73 / $618.38 / $943.58	Professional		$101.73	$618.38	$943.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.24 / $48.24 / $48.24	Professional		$48.24	$48.24	$48.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $70.37 / $114.25 / $287.22	Facility		$70.37	$114.25	$287.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.28 / $115.58 / $223.80	Professional		$71.28	$115.58	$223.80
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 / $102.34 / $117.18	Facility		$36.00	$102.34	$117.18
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 $46.36 / $50.14 / $95.66	Professional		$46.36	$50.14	$95.66