Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.64 / $80.36 / $86.19	Professional		$40.64	$80.36	$86.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $167.30 / $505.21 / $10,000.00	Facility		$167.30	$505.21	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $91.53 / $604.49 / $726.08	Professional		$91.53	$604.49	$726.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.24 / $47.24 / $47.24	Professional		$47.24	$47.24	$47.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $68.81 / $112.05 / $269.70	Facility		$68.81	$112.05	$269.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.78 / $113.04 / $219.52	Professional		$69.78	$113.04	$219.52
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 $47.50 / $96.12 / $98.42	Facility		$47.50	$96.12	$98.42
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 $45.40 / $49.10 / $93.68	Professional		$45.40	$49.10	$93.68