Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.72 / $78.56 / $86.14	Professional		$39.72	$78.56	$86.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $175.77 / $503.15 / $10,000.00	Facility		$175.77	$503.15	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $93.38 / $635.09 / $807.98	Professional		$93.38	$635.09	$807.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.19 / $46.19 / $46.19	Professional		$46.19	$46.19	$46.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $109.12 / $263.68	Facility		$67.27	$109.12	$263.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $110.49 / $214.37	Professional		$67.91	$110.49	$214.37
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 / $93.97 / $111.32	Facility		$49.00	$93.97	$111.32
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 $44.38 / $48.01 / $91.59	Professional		$44.38	$48.01	$91.59