Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.40 / $169.23 / $211.99	Professional		$83.40	$169.23	$211.99
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $354.16 / $1,050.52 / $10,000.00	Facility		$354.16	$1,050.52	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $176.10 / $1,252.80 / $1,853.70	Professional		$176.10	$1,252.80	$1,853.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.11 / $91.11 / $91.11	Professional		$91.11	$91.11	$91.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $133.30 / $219.56 / $542.80	Facility		$133.30	$219.56	$542.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.54 / $218.95 / $422.74	Professional		$134.54	$218.95	$422.74
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 $185.37 / $202.41 / $207.27	Facility		$185.37	$202.41	$207.27
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 $87.56 / $94.70 / $180.68	Professional		$87.56	$94.70	$180.68