Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.17 / $14.17 / $14.17	Facility		$14.17	$14.17	$14.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $11.55 / $14.17	Professional		$8.61	$11.55	$14.17
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 $12.75 / $107.18 / $283.32	Professional		$12.75	$107.18	$283.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $11.42 / $22.15 / $4,686.56	Facility		$11.42	$22.15	$4,686.56
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 $16.28 / $24.79 / $24.79	Facility		$16.28	$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