Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $115.26 / $151.61	Professional		$58.29	$115.26	$151.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $253.71 / $750.39 / $10,000.00	Facility		$253.71	$750.39	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $174.61 / $851.58 / $1,250.48	Professional		$174.61	$851.58	$1,250.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.76 / $67.76 / $67.76	Professional		$67.76	$67.76	$67.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $98.89 / $160.38 / $386.83	Facility		$98.89	$160.38	$386.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.81 / $162.33 / $314.70	Professional		$99.81	$162.33	$314.70
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 / $137.85 / $141.16	Facility		$47.50	$137.85	$141.16
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 $65.11 / $70.42 / $134.36	Professional		$65.11	$70.42	$134.36