Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.41 / $89.92 / $100.73	Professional		$44.41	$89.92	$100.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $207.94 / $569.84 / $10,000.00	Facility		$207.94	$569.84	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $106.72 / $784.22 / $791.18	Professional		$106.72	$784.22	$791.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $51.62 / $51.62	Professional		$51.62	$51.62	$51.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $75.64 / $122.30 / $301.77	Facility		$75.64	$122.30	$301.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.34 / $123.59 / $239.24	Professional		$76.34	$123.59	$239.24
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 $48.67 / $107.55 / $110.13	Facility		$48.67	$107.55	$110.13
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 $49.61 / $53.66 / $102.37	Professional		$49.61	$53.66	$102.37