Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.77 / $92.61 / $101.39	Professional		$43.77	$92.61	$101.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $204.96 / $561.92 / $10,000.00	Facility		$204.96	$561.92	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $98.60 / $908.69 / $908.69	Professional		$98.60	$908.69	$908.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $50.89 / $50.89	Professional		$50.89	$50.89	$50.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $74.40 / $123.15 / $302.81	Facility		$74.40	$123.15	$302.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.09 / $122.20 / $235.81	Professional		$75.09	$122.20	$235.81
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 $49.00 / $113.54 / $116.26	Facility		$49.00	$113.54	$116.26
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 $48.90 / $52.89 / $100.91	Professional		$48.90	$52.89	$100.91