Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.98 / $108.56 / $122.32	Professional		$56.98	$108.56	$122.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $250.75 / $691.38 / $10,000.00	Facility		$250.75	$691.38	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $121.49 / $1,015.07 / $1,266.59	Professional		$121.49	$1,015.07	$1,266.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.26 / $62.26 / $62.26	Professional		$62.26	$62.26	$62.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $90.83 / $147.19 / $364.31	Facility		$90.83	$147.19	$364.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.92 / $149.19 / $288.97	Professional		$91.92	$149.19	$288.97
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 $129.85 / $132.97 / $147.57	Facility		$129.85	$132.97	$147.57
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 $60.27 / $64.70 / $123.45	Professional		$60.27	$64.70	$123.45