Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.99 / $116.61 / $137.52	Professional		$54.99	$116.61	$137.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $241.24 / $734.76 / $10,000.00	Facility		$241.24	$734.76	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $123.55 / $871.65 / $1,110.53	Professional		$123.55	$871.65	$1,110.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $63.92 / $63.92	Professional		$63.92	$63.92	$63.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $93.31 / $160.74 / $404.49	Facility		$93.31	$160.74	$404.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.18 / $160.06 / $296.69	Professional		$94.18	$160.06	$296.69
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 $145.19 / $162.82 / $166.73	Facility		$145.19	$162.82	$166.73
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 $61.43 / $66.44 / $126.76	Professional		$61.43	$66.44	$126.76