Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.04 / $299.04 / $299.04	Facility		$299.04	$299.04	$299.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.72 / $247.22 / $299.04	Professional		$169.72	$247.22	$299.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $538.63 / $1,672.15 / $1,672.15	Facility		$538.63	$1,672.15	$1,672.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $394.79 / $1,750.16 / $2,740.73	Professional		$394.79	$1,750.16	$2,740.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $217.71 / $376.97 / $5,309.14	Facility		$217.71	$376.97	$5,309.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.71 / $366.17 / $640.86	Professional		$217.71	$366.17	$640.86
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 $514.77 / $602.32 / $2,303.00	Facility		$514.77	$602.32	$2,303.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.39 / $394.79 / $394.79	Professional		$323.39	$394.79	$394.79