Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $49.95 / $67.05	Professional		$32.04	$49.95	$67.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $162.84 / $162.84	Facility		$75.00	$162.84	$162.84
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $80.37 / $221.34 / $267.83	Professional		$80.37	$221.34	$267.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $45.88 / $71.39 / $116.62	Facility		$45.88	$71.39	$116.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.17 / $85.51 / $116.62	Professional		$55.17	$85.51	$116.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $80.00	Professional		$45.00	$50.00	$80.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $43.15 / $60.78 / $61.64	Facility		$43.15	$60.78	$61.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.79 / $122.79 / $122.79	Professional		$122.79	$122.79	$122.79