Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.13 / $77.73 / $88.25	Professional		$38.13	$77.73	$88.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $166.51 / $486.72 / $10,000.00	Facility		$166.51	$486.72	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $85.98 / $601.62 / $715.88	Professional		$85.98	$601.62	$715.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.32 / $44.32 / $44.32	Professional		$44.32	$44.32	$44.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $64.79 / $104.72 / $260.83	Facility		$64.79	$104.72	$260.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.39 / $106.32 / $205.80	Professional		$65.39	$106.32	$205.80
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 / $92.98 / $95.21	Facility		$49.00	$92.98	$95.21
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 $42.59 / $46.07 / $87.89	Professional		$42.59	$46.07	$87.89