Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.97 / $58.10 / $69.73	Professional		$25.97	$58.10	$69.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $114.86 / $338.18 / $10,000.00	Facility		$114.86	$338.18	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $58.34 / $415.01 / $614.03	Professional		$58.34	$415.01	$614.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $30.18 / $30.18	Professional		$30.18	$30.18	$30.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $44.33 / $75.38 / $180.00	Facility		$44.33	$75.38	$180.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.74 / $72.81 / $139.77	Professional		$44.74	$72.81	$139.77
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 $61.41 / $69.48 / $71.16	Facility		$61.41	$69.48	$71.16
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 $29.00 / $31.37 / $59.85	Professional		$29.00	$31.37	$59.85