Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.68 / $201.68 / $201.68	Facility		$201.68	$201.68	$201.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.05 / $183.30 / $224.00	Professional		$137.05	$183.30	$224.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $331.14 / $1,075.93 / $1,075.93	Facility		$331.14	$1,075.93	$1,075.93
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $281.33 / $1,066.36 / $1,771.20	Professional		$281.33	$1,066.36	$1,771.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $285.33 / $382.78 / $959.56	Facility		$285.33	$382.78	$959.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $313.33 / $584.25 / $651.32	Professional		$313.33	$584.25	$651.32
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 $270.60 / $405.82 / $412.05	Facility		$270.60	$405.82	$412.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $613.89 / $613.89	Professional		$600.00	$613.89	$613.89