Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $17.27 / $17.27	Professional		$12.86	$17.27	$17.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $18.37 / $87.26 / $87.26	Facility		$18.37	$87.26	$87.26
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $16.53 / $38.06 / $137.78	Professional		$16.53	$38.06	$137.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $14.70 / $18.37 / $31.23	Facility		$14.70	$18.37	$31.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $18.37 / $45.92	Professional		$14.70	$18.37	$45.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.37 / $18.37 / $25.72	Facility		$18.37	$18.37	$25.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.53 / $22.96 / $27.74	Professional		$16.53	$22.96	$27.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.37 / $27.36 / $42.57	Professional		$18.37	$27.36	$42.57
United Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $7.72 / $22.04	Professional		$7.72	$7.72	$22.04