Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $10.32 / $12.81	Professional		$5.08	$10.32	$12.81
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 $13.41 / $81.33 / $117.30	Professional		$13.41	$81.33	$117.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.91 / $5.91 / $5.91	Professional		$5.91	$5.91	$5.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $8.68 / $14.85 / $35.76	Facility		$8.68	$14.85	$35.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $14.74 / $27.44	Professional		$8.74	$14.74	$27.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $14.74 / $70.00	Professional		$14.74	$14.74	$70.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.31 / $14.39 / $14.74	Facility		$12.31	$14.39	$14.74
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 $5.69 / $6.15 / $11.73	Professional		$5.69	$6.15	$11.73