Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.27 / $105.33 / $137.57	Professional		$53.27	$105.33	$137.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $215.54 / $664.47 / $10,000.00	Facility		$215.54	$664.47	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $159.57 / $713.52 / $1,015.95	Professional		$159.57	$713.52	$1,015.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.92 / $61.92 / $61.92	Professional		$61.92	$61.92	$61.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $90.52 / $146.47 / $353.50	Facility		$90.52	$146.47	$353.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.36 / $148.35 / $287.26	Professional		$91.36	$148.35	$287.26
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 / $125.98 / $129.00	Facility		$47.50	$125.98	$129.00
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 $59.50 / $64.36 / $122.78	Professional		$59.50	$64.36	$122.78