Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.19 / $20.19 / $1,173.42	Facility		$20.19	$20.19	$1,173.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $14.90 / $20.19	Professional		$11.46	$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 $20.11 / $127.05 / $283.32	Professional		$20.11	$127.05	$283.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $18.35 / $35.96 / $4,686.56	Facility		$18.35	$35.96	$4,686.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $31.49 / $41.76	Professional		$16.57	$31.49	$41.76
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 $44.55 / $44.55 / $44.55	Professional		$44.55	$44.55	$44.55