Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.62 / $14.17 / $127.01	Facility		$2.62	$14.17	$127.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $11.19 / $14.17	Professional		$9.21	$11.19	$14.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Facility		$75.00	$75.00	$75.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $75.13 / $107.18	Professional		$13.56	$75.13	$107.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $10.88 / $20.42 / $259.42	Facility		$10.88	$20.42	$259.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $19.14 / $27.30	Professional		$10.32	$19.14	$27.30
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 $17.30 / $24.79 / $24.79	Facility		$17.30	$24.79	$24.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.92 / $28.92 / $28.92	Professional		$28.92	$28.92	$28.92