Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.07 / $156.22 / $182.81	Professional		$84.07	$156.22	$182.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $332.49 / $1,051.88 / $10,000.00	Facility		$332.49	$1,051.88	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $177.52 / $1,224.61 / $1,868.63	Professional		$177.52	$1,224.61	$1,868.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.84 / $91.84 / $91.84	Professional		$91.84	$91.84	$91.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $134.22 / $217.51 / $524.36	Facility		$134.22	$217.51	$524.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.47 / $220.04 / $426.17	Professional		$135.47	$220.04	$426.17
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 $186.86 / $186.86 / $191.34	Facility		$186.86	$186.86	$191.34
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 $88.26 / $95.46 / $182.13	Professional		$88.26	$95.46	$182.13