Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.81 / $62.84 / $73.90	Professional		$33.81	$62.84	$73.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $140.90 / $419.09 / $10,000.00	Facility		$140.90	$419.09	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $71.39 / $492.53 / $751.50	Professional		$71.39	$492.53	$751.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.94 / $36.94 / $36.94	Professional		$36.94	$36.94	$36.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $53.94 / $87.52 / $210.90	Facility		$53.94	$87.52	$210.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.44 / $88.50 / $171.50	Professional		$54.44	$88.50	$171.50
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 $75.15 / $76.95 / $92.79	Facility		$75.15	$76.95	$92.79
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 $35.50 / $38.39 / $73.25	Professional		$35.50	$38.39	$73.25