Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $16.84 / $18.69	Professional		$8.23	$16.84	$18.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $101.04 / $10,000.00	Facility		$80.00	$101.04	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $131.57 / $146.03	Professional		$18.70	$131.57	$146.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $9.57 / $9.57	Professional		$9.57	$9.57	$9.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $13.95 / $22.83 / $56.25	Facility		$13.95	$22.83	$56.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $22.91 / $43.73	Professional		$14.25	$22.91	$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 $20.58 / $20.85 / $21.35	Facility		$20.58	$20.85	$21.35
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 $9.19 / $9.94 / $18.97	Professional		$9.19	$9.94	$18.97