Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.44 / $87.47 / $109.19	Professional		$42.44	$87.47	$109.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $155.09 / $537.64 / $10,000.00	Facility		$155.09	$537.64	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $127.13 / $553.72 / $815.85	Professional		$127.13	$553.72	$815.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.33 / $49.33 / $49.33	Professional		$49.33	$49.33	$49.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $72.23 / $116.81 / $293.57	Facility		$72.23	$116.81	$293.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.90 / $118.28 / $228.95	Professional		$72.90	$118.28	$228.95
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 / $104.61 / $107.12	Facility		$49.00	$104.61	$107.12
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 $47.41 / $51.28 / $97.83	Professional		$47.41	$51.28	$97.83