Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $18.70 / $25.12	Professional		$9.46	$18.70	$25.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $124.63 / $10,000.00	Facility		$80.00	$124.63	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $24.61 / $151.22 / $180.00	Professional		$24.61	$151.22	$180.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $11.00 / $11.00	Professional		$11.00	$11.00	$11.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $16.12 / $26.00 / $62.78	Facility		$16.12	$26.00	$62.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $26.35 / $51.45	Professional		$16.23	$26.35	$51.45
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 $22.37 / $22.37 / $22.91	Facility		$22.37	$22.37	$22.91
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 $10.57 / $11.43 / $21.80	Professional		$10.57	$11.43	$21.80