Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.33 / $184.60 / $210.43	Professional		$99.33	$184.60	$210.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $413.00 / $1,233.46 / $10,000.00	Facility		$413.00	$1,233.46	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $186.91 / $1,492.23 / $2,207.92	Professional		$186.91	$1,492.23	$2,207.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.53 / $108.53 / $108.53	Professional		$108.53	$108.53	$108.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $158.72 / $256.70 / $619.59	Facility		$158.72	$256.70	$619.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $160.19 / $260.02 / $503.35	Professional		$160.19	$260.02	$503.35
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 $220.80 / $220.80 / $226.10	Facility		$220.80	$220.80	$226.10
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 $104.29 / $112.80 / $215.20	Professional		$104.29	$112.80	$215.20