Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.06 / $146.84 / $161.78	Professional		$74.06	$146.84	$161.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $258.89 / $897.48 / $10,000.00	Facility		$258.89	$897.48	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $162.50 / $1,079.04 / $1,646.48	Professional		$162.50	$1,079.04	$1,646.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.93 / $80.93 / $80.93	Professional		$80.93	$80.93	$80.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.11 / $194.24 / $482.81	Facility		$118.11	$194.24	$482.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.31 / $194.00 / $376.44	Professional		$119.31	$194.00	$376.44
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 $164.65 / $175.63 / $179.85	Facility		$164.65	$175.63	$179.85
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 $77.77 / $84.11 / $160.47	Professional		$77.77	$84.11	$160.47