Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.19 / $20.19 / $20.19	Facility		$20.19	$20.19	$20.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $14.90 / $20.19	Professional		$11.33	$14.90	$20.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $441.60 / $885.11 / $885.11	Facility		$441.60	$885.11	$885.11
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $127.05 / $283.32	Professional		$19.68	$127.05	$283.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $15.81 / $33.51 / $4,686.56	Facility		$15.81	$33.51	$4,686.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $30.25 / $41.53	Professional		$15.38	$30.25	$41.53
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 $20.56 / $28.92 / $29.48	Facility		$20.56	$28.92	$29.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $40.86 / $40.86	Professional		$40.86	$40.86	$40.86