Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.62 / $177.94 / $221.26	Professional		$93.62	$177.94	$221.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $333.07 / $1,154.65 / $10,000.00	Facility		$333.07	$1,154.65	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $175.55 / $1,394.74 / $2,128.19	Professional		$175.55	$1,394.74	$2,128.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $104.60 / $104.60	Professional		$104.60	$104.60	$104.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $152.83 / $247.54 / $597.17	Facility		$152.83	$247.54	$597.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.25 / $250.61 / $485.34	Professional		$154.25	$250.61	$485.34
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 $212.82 / $217.92 / $242.38	Facility		$212.82	$217.92	$242.38
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 $100.52 / $108.72 / $207.43	Professional		$100.52	$108.72	$207.43