Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.59 / $76.56 / $87.33	Professional		$38.59	$76.56	$87.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $146.52 / $486.44 / $10,000.00	Facility		$146.52	$486.44	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $100.14 / $529.40 / $787.28	Professional		$100.14	$529.40	$787.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.86 / $44.86 / $44.86	Professional		$44.86	$44.86	$44.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $65.41 / $106.19 / $256.92	Facility		$65.41	$106.19	$256.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.03 / $107.20 / $207.51	Professional		$66.03	$107.20	$207.51
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 / $91.57 / $98.95	Facility		$49.00	$91.57	$98.95
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 $43.10 / $46.62 / $88.95	Professional		$43.10	$46.62	$88.95