Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $111.78 / $122.92	Professional		$55.00	$111.78	$122.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $207.60 / $685.20 / $10,000.00	Facility		$207.60	$685.20	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $116.12 / $801.07 / $1,222.34	Professional		$116.12	$801.07	$1,222.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.08 / $60.08 / $60.08	Professional		$60.08	$60.08	$60.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $99.51 / $160.86 / $395.75	Facility		$99.51	$160.86	$395.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.88 / $154.22 / $284.60	Professional		$101.88	$154.22	$284.60
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 $122.23 / $137.08 / $140.37	Facility		$122.23	$137.08	$140.37
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 $57.74 / $62.45 / $119.14	Professional		$57.74	$62.45	$119.14