Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.94 / $64.94 / $64.94	Facility		$64.94	$64.94	$64.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.93 / $56.09 / $64.94	Professional		$36.93	$56.09	$64.94
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 $96.00 / $338.50 / $491.93	Professional		$96.00	$338.50	$491.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $83.00 / $105.47	Facility		$50.50	$83.00	$105.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $83.00 / $108.29	Professional		$50.50	$83.00	$108.29
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 $74.36 / $111.64 / $113.23	Facility		$74.36	$111.64	$113.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.16 / $162.16 / $162.16	Professional		$162.16	$162.16	$162.16