Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.28 / $121.32 / $131.26	Professional		$65.28	$121.32	$131.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $240.70 / $827.28 / $10,000.00	Facility		$240.70	$827.28	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $137.85 / $951.02 / $1,451.18	Professional		$137.85	$951.02	$1,451.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.33 / $71.33 / $71.33	Professional		$71.33	$71.33	$71.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $104.47 / $168.81 / $407.19	Facility		$104.47	$168.81	$407.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.44 / $170.89 / $330.99	Professional		$105.44	$170.89	$330.99
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 $145.11 / $148.60 / $181.59	Facility		$145.11	$148.60	$181.59
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 $68.54 / $74.14 / $141.44	Professional		$68.54	$74.14	$141.44