Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.66 / $21.66 / $21.66	Facility		$21.66	$21.66	$21.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.38 / $21.66 / $21.66	Professional		$20.38	$21.66	$21.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $20.72 / $100.00	Facility		$10.68	$20.72	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $96.82 / $96.82 / $114.66	Professional		$96.82	$96.82	$114.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $41.76 / $41.76 / $41.76	Facility		$41.76	$41.76	$41.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $79,999.20 / $79,999.20	Facility		$19.20	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $11.88 / $25.07	Facility		$8.91	$11.88	$25.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12.04 / $12.04 / $13.24	Facility		$12.04	$12.04	$13.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.24 / $21.24 / $21.24	Professional		$21.24	$21.24	$21.24