Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.63 / $150.69 / $183.76	Professional		$74.63	$150.69	$183.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $302.64 / $969.84 / $10,000.00	Facility		$302.64	$969.84	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $145.59 / $1,093.50 / $1,649.85	Professional		$145.59	$1,093.50	$1,649.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $86.76 / $86.76	Professional		$86.76	$86.76	$86.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $126.48 / $205.42 / $505.71	Facility		$126.48	$205.42	$505.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.94 / $207.75 / $402.16	Professional		$127.94	$207.75	$402.16
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 $176.50 / $180.24 / $184.57	Facility		$176.50	$180.24	$184.57
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 $83.36 / $90.17 / $172.03	Professional		$83.36	$90.17	$172.03