Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $19.50 / $21.37	Professional		$9.90	$19.50	$21.37
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $127.25 / $10,000.00	Facility		$80.00	$127.25	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $23.02 / $210.56 / $220.05	Professional		$23.02	$210.56	$220.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.24 / $11.24 / $11.24	Professional		$11.24	$11.24	$11.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $16.43 / $26.73 / $64.75	Facility		$16.43	$26.73	$64.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $26.98 / $52.30	Professional		$16.57	$26.98	$52.30
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 $23.09 / $23.41 / $23.97	Facility		$23.09	$23.41	$23.97
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 $10.81 / $11.69 / $22.30	Professional		$10.81	$11.69	$22.30