Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $13.17 / $14.48	Professional		$6.13	$13.17	$14.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $100.00 / $10,000.00	Facility		$80.00	$100.00	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $124.16 / $136.28	Professional		$12.95	$124.16	$136.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $6.70 / $6.70	Professional		$6.70	$6.70	$6.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $9.61 / $16.67 / $41.61	Facility		$9.61	$16.67	$41.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $16.46 / $30.87	Professional		$9.75	$16.46	$30.87
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 $13.63 / $16.75 / $17.14	Facility		$13.63	$16.75	$17.14
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 $6.44 / $6.96 / $13.28	Professional		$6.44	$6.96	$13.28