Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $106.31 / $108.70	Professional		$51.33	$106.31	$108.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $189.34 / $635.54 / $10,000.00	Facility		$189.34	$635.54	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $112.63 / $747.84 / $1,141.13	Professional		$112.63	$747.84	$1,141.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $58.28 / $58.28	Professional		$58.28	$58.28	$58.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $85.25 / $139.61 / $347.81	Facility		$85.25	$139.61	$347.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.04 / $140.03 / $270.11	Professional		$86.04	$140.03	$270.11
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 $118.56 / $128.69 / $131.79	Facility		$118.56	$128.69	$131.79
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 $56.00 / $60.57 / $115.56	Professional		$56.00	$60.57	$115.56