Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.21 / $689.21 / $3,201.59	Facility		$689.21	$689.21	$3,201.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.65 / $689.21 / $738.73	Professional		$474.65	$689.21	$738.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,325.94 / $3,299.61 / $3,299.61	Facility		$1,325.94	$3,299.61	$3,299.61
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,539.00 / $3,767.33 / $3,879.51	Professional		$1,539.00	$3,767.33	$3,879.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $871.29 / $1,443.25 / $2,059.66	Facility		$871.29	$1,443.25	$2,059.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $871.29 / $1,380.64 / $1,887.36	Professional		$871.29	$1,380.64	$1,887.36
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 $567.23 / $829.43 / $995.62	Facility		$567.23	$829.43	$995.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.10 / $2,220.67 / $2,220.67	Professional		$1,819.10	$2,220.67	$2,220.67