Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.03 / $329.03 / $329.03	Facility		$329.03	$329.03	$329.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.03 / $272.01 / $329.03	Professional		$236.03	$272.01	$329.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $488.65 / $1,517.75 / $1,517.75	Facility		$488.65	$1,517.75	$1,517.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $626.33 / $1,733.46 / $2,486.55	Professional		$626.33	$1,733.46	$2,486.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $317.45 / $553.52 / $3,065.20	Facility		$317.45	$553.52	$3,065.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $317.45 / $542.29 / $682.95	Professional		$317.45	$542.29	$682.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $50.00	Professional		$45.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $467.02 / $546.30 / $1,330.00	Facility		$467.02	$546.30	$1,330.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $635.88 / $776.25 / $776.25	Professional		$635.88	$776.25	$776.25