Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.61 / $48.67 / $60.52	Professional		$24.61	$48.67	$60.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $92.19 / $301.86 / $10,000.00	Facility		$92.19	$301.86	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $55.30 / $349.29 / $500.25	Professional		$55.30	$349.29	$500.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $28.61	Professional		$28.61	$28.61	$28.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $41.54 / $67.73 / $163.34	Facility		$41.54	$67.73	$163.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $68.23 / $132.91	Professional		$42.02	$68.23	$132.91
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 $53.65 / $58.21 / $62.59	Facility		$53.65	$58.21	$62.59
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 $27.49 / $29.74 / $56.74	Professional		$27.49	$29.74	$56.74