Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.15 / $88.20 / $106.90	Professional		$44.15	$88.20	$106.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $186.57 / $572.04 / $10,000.00	Facility		$186.57	$572.04	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $117.30 / $636.12 / $786.15	Professional		$117.30	$636.12	$786.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $51.33 / $51.33	Professional		$51.33	$51.33	$51.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $75.02 / $121.57 / $293.02	Facility		$75.02	$121.57	$293.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $122.98 / $238.38	Professional		$75.79	$122.98	$238.38
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 $47.50 / $104.43 / $106.94	Facility		$47.50	$104.43	$106.94
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 $49.33 / $53.35 / $101.78	Professional		$49.33	$53.35	$101.78