Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.79 / $30.79 / $49.26	Facility		$30.79	$30.79	$49.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $23.18 / $30.79	Professional		$18.39	$23.18	$30.79
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 $28.24 / $209.93 / $283.32	Professional		$28.24	$209.93	$283.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $24.01 / $48.84 / $4,686.56	Facility		$24.01	$48.84	$4,686.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.94 / $44.08 / $61.23	Professional		$22.94	$44.08	$61.23
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 $34.11 / $48.14 / $48.91	Facility		$34.11	$48.14	$48.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.97 / $58.97 / $58.97	Professional		$58.97	$58.97	$58.97