Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.86 / $92.50 / $107.29	Professional		$42.86	$92.50	$107.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $167.07 / $544.61 / $10,000.00	Facility		$167.07	$544.61	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $90.50 / $643.85 / $952.65	Professional		$90.50	$643.85	$952.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $46.82 / $46.82	Professional		$46.82	$46.82	$46.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $68.20 / $120.00 / $315.55	Facility		$68.20	$120.00	$315.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.03 / $119.90 / $217.80	Professional		$69.03	$119.90	$217.80
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 $100.77 / $127.02 / $130.07	Facility		$100.77	$127.02	$130.07
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 $45.00 / $48.67 / $92.85	Professional		$45.00	$48.67	$92.85