Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.66 / $61.94 / $66.42	Professional		$28.66	$61.94	$66.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $361.86 / $10,000.00	Facility		$110.00	$361.86	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $72.48 / $391.18 / $555.60	Professional		$72.48	$391.18	$555.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $33.32 / $33.32	Professional		$33.32	$33.32	$33.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $48.67 / $80.36 / $198.75	Facility		$48.67	$80.36	$198.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.15 / $79.94 / $155.19	Professional		$49.15	$79.94	$155.19
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 $74.08 / $75.86 / $78.55	Facility		$74.08	$75.86	$78.55
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 $32.27 / $34.63 / $66.06	Professional		$32.27	$34.63	$66.06