Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $15.70 / $16.82	Professional		$7.94	$15.70	$16.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $101.88 / $10,000.00	Facility		$80.00	$101.88	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $147.47 / $149.25	Professional		$17.82	$147.47	$149.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $9.23 / $9.23	Professional		$9.23	$9.23	$9.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $13.33 / $20.36 / $40.98	Facility		$13.33	$20.36	$40.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $21.89 / $42.87	Professional		$13.50	$21.89	$42.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.22 / $19.22 / $70.00	Professional		$19.22	$19.22	$70.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.77 / $19.22 / $25.63	Facility		$18.77	$19.22	$25.63
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 $8.86 / $9.59 / $18.30	Professional		$8.86	$9.59	$18.30