Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.44 / $103.37 / $105.60	Professional		$44.44	$103.37	$105.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $208.06 / $585.23 / $10,000.00	Facility		$208.06	$585.23	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $99.84 / $714.58 / $972.00	Professional		$99.84	$714.58	$972.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.66 / $51.66 / $51.66	Professional		$51.66	$51.66	$51.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $75.64 / $129.44 / $308.89	Facility		$75.64	$129.44	$308.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.34 / $127.33 / $239.24	Professional		$76.34	$127.33	$239.24
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 $124.35 / $127.33 / $143.49	Facility		$124.35	$127.33	$143.49
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 $49.64 / $53.69 / $102.43	Professional		$49.64	$53.69	$102.43