Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.66 / $520.91 / $558.65	Professional		$242.66	$520.91	$558.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $925.09 / $3,066.90 / $10,000.00	Facility		$925.09	$3,066.90	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $529.39 / $3,280.53 / $4,766.63	Professional		$529.39	$3,280.53	$4,766.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.08 / $282.08 / $282.08	Professional		$282.08	$282.08	$282.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $411.99 / $676.46 / $1,682.81	Facility		$411.99	$676.46	$1,682.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.09 / $676.72 / $1,309.40	Professional		$416.09	$676.72	$1,309.40
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 $623.04 / $637.99 / $658.74	Facility		$623.04	$637.99	$658.74
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 $271.07 / $293.18 / $559.35	Professional		$271.07	$293.18	$559.35