Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.42 / $84.85 / $93.24	Professional		$39.42	$84.85	$93.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $149.02 / $498.70 / $10,000.00	Facility		$149.02	$498.70	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $92.93 / $537.12 / $779.70	Professional		$92.93	$537.12	$779.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $45.83 / $45.83	Professional		$45.83	$45.83	$45.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $66.95 / $110.30 / $273.75	Facility		$66.95	$110.30	$273.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.53 / $109.98 / $213.51	Professional		$67.53	$109.98	$213.51
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 / $105.97 / $108.51	Facility		$49.00	$105.97	$108.51
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 $44.04 / $47.63 / $90.87	Professional		$44.04	$47.63	$90.87