Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $79.81 / $85.68	Professional		$37.61	$79.81	$85.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $152.80 / $478.06 / $10,000.00	Facility		$152.80	$478.06	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $80.38 / $510.29 / $778.65	Professional		$80.38	$510.29	$778.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.73 / $43.73 / $43.73	Professional		$43.73	$43.73	$43.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $63.86 / $104.99 / $261.56	Facility		$63.86	$104.99	$261.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.53 / $104.89 / $203.22	Professional		$64.53	$104.89	$203.22
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 / $95.55 / $97.84	Facility		$49.00	$95.55	$97.84
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 $42.02 / $45.45 / $86.71	Professional		$42.02	$45.45	$86.71