Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.14 / $119.23 / $153.82	Professional		$59.14	$119.23	$153.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $267.42 / $765.27 / $10,000.00	Facility		$267.42	$765.27	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $153.82 / $897.48 / $1,265.63	Professional		$153.82	$897.48	$1,265.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $68.73 / $68.73	Professional		$68.73	$68.73	$68.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $100.44 / $162.58 / $400.15	Facility		$100.44	$162.58	$400.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.37 / $164.79 / $318.99	Professional		$101.37	$164.79	$318.99
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 $139.85 / $142.59 / $146.01	Facility		$139.85	$142.59	$146.01
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 $66.06 / $71.45 / $136.31	Professional		$66.06	$71.45	$136.31