Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $17.80 / $21.00	Professional		$8.13	$17.80	$21.00
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 $19.89 / $124.05 / $145.94	Professional		$19.89	$124.05	$145.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $9.44 / $9.44	Professional		$9.44	$9.44	$9.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $13.64 / $23.09 / $56.25	Facility		$13.64	$23.09	$56.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $22.51 / $43.73	Professional		$13.88	$22.51	$43.73
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 $19.23 / $21.29 / $21.80	Facility		$19.23	$21.29	$21.80
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 $8.88 / $9.82 / $18.73	Professional		$8.88	$9.82	$18.73