Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.84 / $69.26 / $74.26	Professional		$31.84	$69.26	$74.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $135.97 / $406.22 / $10,000.00	Facility		$135.97	$406.22	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $70.80 / $463.78 / $707.70	Professional		$70.80	$463.78	$707.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $37.00 / $37.00	Professional		$37.00	$37.00	$37.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $53.94 / $92.30 / $220.31	Facility		$53.94	$92.30	$220.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.44 / $90.04 / $171.50	Professional		$54.44	$90.04	$171.50
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 / $87.93 / $90.04	Facility		$49.00	$87.93	$90.04
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 $35.56 / $38.45 / $73.37	Professional		$35.56	$38.45	$73.37