Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.54 / $57.34 / $61.49	Professional		$26.54	$57.34	$61.49
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $101.83 / $335.09 / $10,000.00	Facility		$101.83	$335.09	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $67.13 / $362.25 / $514.35	Professional		$67.13	$362.25	$514.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.85 / $30.85 / $30.85	Professional		$30.85	$30.85	$30.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $45.26 / $71.62 / $137.75	Facility		$45.26	$71.62	$137.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.68 / $74.34 / $143.19	Professional		$45.68	$74.34	$143.19
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 $68.58 / $70.23 / $72.73	Facility		$68.58	$70.23	$72.73
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 $29.65 / $32.07 / $61.18	Professional		$29.65	$32.07	$61.18