Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $91.59 / $100.35	Professional		$42.95	$91.59	$100.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $180.44 / $549.29 / $10,000.00	Facility		$180.44	$549.29	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $100.35 / $597.30 / $802.13	Professional		$100.35	$597.30	$802.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.92 / $49.92 / $49.92	Professional		$49.92	$49.92	$49.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $73.16 / $119.61 / $297.18	Facility		$73.16	$119.61	$297.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.84 / $120.17 / $231.52	Professional		$73.84	$120.17	$231.52
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 / $109.56 / $112.19	Facility		$49.00	$109.56	$112.19
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 $47.98 / $51.89 / $99.00	Professional		$47.98	$51.89	$99.00