Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.53 / $218.57 / $283.85	Professional		$110.53	$218.57	$283.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $467.47 / $1,389.96 / $10,000.00	Facility		$467.47	$1,389.96	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $215.64 / $1,689.04 / $1,960.65	Professional		$215.64	$1,689.04	$1,960.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.49 / $128.49 / $128.49	Professional		$128.49	$128.49	$128.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $187.86 / $303.93 / $733.54	Facility		$187.86	$303.93	$733.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $189.61 / $307.83 / $595.96	Professional		$189.61	$307.83	$595.96
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 $261.42 / $267.69 / $291.33	Facility		$261.42	$267.69	$291.33
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 $123.48 / $133.55 / $254.79	Professional		$123.48	$133.55	$254.79