Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.56 / $15.56 / $15.56	Facility		$15.56	$15.56	$15.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $13.13 / $16.35	Professional		$9.75	$13.13	$16.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $32.09 / $86.18 / $86.18	Facility		$32.09	$86.18	$86.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $100.58 / $143.10	Professional		$22.39	$100.58	$143.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $17.10 / $30.67 / $38.43	Facility		$17.10	$30.67	$38.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $28.93 / $38.43	Professional		$13.26	$28.93	$38.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.44 / $33.52 / $34.17	Facility		$22.44	$33.52	$34.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $22.65 / $22.65	Professional		$13.00	$22.65	$22.65
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $72.00	Professional		$45.00	$45.00	$72.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00