Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.45 / $20.66 / $26.20	Professional		$10.45	$20.66	$26.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $127.86 / $10,000.00	Facility		$80.00	$127.86	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $23.47 / $167.01 / $185.33	Professional		$23.47	$167.01	$185.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $12.15 / $12.15	Professional		$12.15	$12.15	$12.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $29.00 / $69.34	Facility		$17.98	$29.00	$69.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $29.11 / $56.59	Professional		$18.14	$29.11	$56.59
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 $24.71 / $24.71 / $25.31	Facility		$24.71	$24.71	$25.31
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 $11.68 / $12.62 / $24.09	Professional		$11.68	$12.62	$24.09