Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.15 / $27.98 / $31.29	Professional		$14.15	$27.98	$31.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $86.61 / $199.92 / $10,000.00	Facility		$86.61	$199.92	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $389.75 / $389.75	Professional		$31.27	$389.75	$389.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $16.45 / $16.45	Professional		$16.45	$16.45	$16.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $24.18 / $39.00 / $93.91	Facility		$24.18	$39.00	$93.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.40 / $39.40 / $76.31	Professional		$24.40	$39.40	$76.31
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 $33.47 / $33.47 / $34.27	Facility		$33.47	$33.47	$34.27
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 $15.80 / $17.09 / $32.61	Professional		$15.80	$17.09	$32.61