Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.32 / $69.81 / $74.87	Professional		$32.32	$69.81	$74.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $123.98 / $408.00 / $10,000.00	Facility		$123.98	$408.00	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $81.73 / $441.23 / $626.25	Professional		$81.73	$441.23	$626.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.57 / $37.57 / $37.57	Professional		$37.57	$37.57	$37.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $54.87 / $90.57 / $224.06	Facility		$54.87	$90.57	$224.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.52 / $90.12 / $174.07	Professional		$55.52	$90.12	$174.07
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 $83.50 / $85.50 / $88.60	Facility		$83.50	$85.50	$88.60
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 $36.11 / $39.04 / $74.50	Professional		$36.11	$39.04	$74.50