Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.60 / $100.85 / $126.49	Professional		$49.60	$100.85	$126.49
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $232.22 / $641.86 / $10,000.00	Facility		$232.22	$641.86	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $145.66 / $859.86 / $891.00	Professional		$145.66	$859.86	$891.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $57.66 / $57.66	Professional		$57.66	$57.66	$57.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $84.32 / $136.21 / $338.43	Facility		$84.32	$136.21	$338.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.17 / $138.21 / $267.54	Professional		$85.17	$138.21	$267.54
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 / $120.63 / $123.53	Facility		$49.00	$120.63	$123.53
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 $55.40 / $59.93 / $114.33	Professional		$55.40	$59.93	$114.33