Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.57 / $173.17 / $220.37	Professional		$87.57	$173.17	$220.37
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $410.03 / $1,179.17 / $10,000.00	Facility		$410.03	$1,179.17	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $196.75 / $1,614.29 / $2,071.13	Professional		$196.75	$1,614.29	$2,071.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.80 / $101.80 / $101.80	Professional		$101.80	$101.80	$101.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $148.80 / $240.94 / $581.15	Facility		$148.80	$240.94	$581.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.19 / $243.89 / $472.48	Professional		$150.19	$243.89	$472.48
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 $207.11 / $207.11 / $233.29	Facility		$207.11	$207.11	$233.29
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 $97.82 / $105.81 / $201.87	Professional		$97.82	$105.81	$201.87