Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.71 / $42.93 / $46.04	Professional		$21.71	$42.93	$46.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $101.65 / $280.00 / $10,000.00	Facility		$101.65	$280.00	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $48.78 / $401.09 / $443.78	Professional		$48.78	$401.09	$443.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.24 / $25.24 / $25.24	Professional		$25.24	$25.24	$25.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $36.89 / $59.69 / $144.10	Facility		$36.89	$59.69	$144.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.22 / $60.47 / $117.47	Professional		$37.22	$60.47	$117.47
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 $51.35 / $52.58 / $61.99	Facility		$51.35	$52.58	$61.99
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 $24.25 / $26.23 / $50.05	Professional		$24.25	$26.23	$50.05