Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.49 / $326.49 / $326.49	Facility		$326.49	$326.49	$326.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.17 / $269.87 / $326.49	Professional		$232.17	$269.87	$326.49
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $481.32 / $1,492.08 / $1,492.08	Facility		$481.32	$1,492.08	$1,492.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $534.48 / $1,712.50 / $2,448.98	Professional		$534.48	$1,712.50	$2,448.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $317.45 / $549.00 / $11,208.46	Facility		$317.45	$549.00	$11,208.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $317.45 / $533.26 / $678.86	Professional		$317.45	$533.26	$678.86
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 $459.35 / $537.47 / $4,862.00	Facility		$459.35	$537.47	$4,862.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $534.48 / $534.48 / $534.48	Professional		$534.48	$534.48	$534.48