Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $35.39 / $44.52	Professional		$19.04	$35.39	$44.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $239.19 / $10,000.00	Facility		$80.00	$239.19	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $40.20 / $279.63 / $423.23	Professional		$40.20	$279.63	$423.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.80 / $20.80 / $20.80	Professional		$20.80	$20.80	$20.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $30.38 / $49.06 / $118.77	Facility		$30.38	$49.06	$118.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.76 / $49.90 / $96.89	Professional		$30.76	$49.90	$96.89
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 $42.32 / $43.34 / $44.82	Facility		$42.32	$43.34	$44.82
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 $19.98 / $21.62 / $41.25	Professional		$19.98	$21.62	$41.25