Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.33 / $67.93 / $72.86	Professional		$34.33	$67.93	$72.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $141.06 / $423.96 / $10,000.00	Facility		$141.06	$423.96	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $77.79 / $500.06 / $763.05	Professional		$77.79	$500.06	$763.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.71 / $38.71 / $38.71	Professional		$38.71	$38.71	$38.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $56.42 / $91.90 / $227.98	Facility		$56.42	$91.90	$227.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.03 / $92.67 / $180.07	Professional		$57.03	$92.67	$180.07
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 / $81.26 / $88.56	Facility		$49.00	$81.26	$88.56
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 $37.20 / $40.24 / $76.76	Professional		$37.20	$40.24	$76.76