Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.34 / $143.75 / $154.16	Professional		$77.34	$143.75	$154.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $398.25 / $966.89 / $10,000.00	Facility		$398.25	$966.89	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $163.33 / $1,792.13 / $1,792.13	Professional		$163.33	$1,792.13	$1,792.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.51 / $84.51 / $84.51	Professional		$84.51	$84.51	$84.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $123.38 / $199.94 / $482.46	Facility		$123.38	$199.94	$482.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.56 / $202.45 / $391.87	Professional		$124.56	$202.45	$391.87
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 $169.58 / $171.93 / $176.06	Facility		$169.58	$171.93	$176.06
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 $81.20 / $87.83 / $167.58	Professional		$81.20	$87.83	$167.58