Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $102.79 / $106.63	Professional		$42.13	$102.79	$106.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $197.24 / $549.76 / $10,000.00	Facility		$197.24	$549.76	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $110.10 / $794.30 / $877.20	Professional		$110.10	$794.30	$877.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.97 / $48.97 / $48.97	Professional		$48.97	$48.97	$48.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $71.61 / $122.67 / $305.43	Facility		$71.61	$122.67	$305.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.27 / $122.54 / $227.23	Professional		$72.27	$122.54	$227.23
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 $101.92 / $122.95 / $125.90	Facility		$101.92	$122.95	$125.90
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 $47.06 / $50.90 / $97.11	Professional		$47.06	$50.90	$97.11