Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.01 / $44.64 / $47.73	Professional		$21.01	$44.64	$47.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.63 / $265.36 / $10,000.00	Facility		$80.63	$265.36	$10,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $287.05 / $407.33	Professional		$53.00	$287.05	$407.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.43 / $24.43 / $24.43	Professional		$24.43	$24.43	$24.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $35.65 / $58.91 / $146.25	Facility		$35.65	$58.91	$146.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.01 / $58.55 / $113.19	Professional		$36.01	$58.55	$113.19
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 $54.31 / $55.61 / $57.64	Facility		$54.31	$55.61	$57.64
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 $23.48 / $25.40 / $48.45	Professional		$23.48	$25.40	$48.45