Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $65.41 / $77.20	Professional		$32.34	$65.41	$77.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $127.15 / $411.51 / $10,000.00	Facility		$127.15	$411.51	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $74.14 / $485.71 / $741.15	Professional		$74.14	$485.71	$741.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $37.59 / $37.59	Professional		$37.59	$37.59	$37.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $54.87 / $93.89 / $224.06	Facility		$54.87	$93.89	$224.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.52 / $90.60 / $174.07	Professional		$55.52	$90.60	$174.07
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 / $88.48 / $90.60	Facility		$49.00	$88.48	$90.60
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 $36.13 / $39.07 / $74.55	Professional		$36.13	$39.07	$74.55