Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.97 / $234.97 / $234.97	Facility		$234.97	$234.97	$234.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.46 / $204.64 / $234.97	Professional		$179.46	$204.64	$234.97
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,419.07 / $5,062.89 / $5,062.89	Facility		$4,419.07	$5,062.89	$5,062.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $371.00 / $1,274.00 / $1,873.95	Professional		$371.00	$1,274.00	$1,873.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $167.30 / $344.57 / $1,416.62	Facility		$167.30	$344.57	$1,416.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.85 / $326.87 / $485.12	Professional		$165.85	$326.87	$485.12
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 $281.86 / $412.17 / $430.14	Facility		$281.86	$412.17	$430.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.39 / $394.79 / $394.79	Professional		$323.39	$394.79	$394.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $209.00 / $209.00 / $209.00	Professional		$209.00	$209.00	$209.00