Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.09 / $43.63 / $50.12	Professional		$22.09	$43.63	$50.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $84.54 / $278.32 / $10,000.00	Facility		$84.54	$278.32	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $49.58 / $354.83 / $491.18	Professional		$49.58	$354.83	$491.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $25.65 / $25.65	Professional		$25.65	$25.65	$25.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $37.51 / $60.60 / $146.44	Facility		$37.51	$60.60	$146.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.89 / $61.46 / $119.19	Professional		$37.89	$61.46	$119.19
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 $52.19 / $53.44 / $71.25	Facility		$52.19	$53.44	$71.25
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 $24.10 / $26.66 / $50.86	Professional		$24.10	$26.66	$50.86