Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.17 / $374.17 / $374.17	Facility		$374.17	$374.17	$374.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.83 / $355.78 / $374.17	Professional		$228.83	$355.78	$374.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,254.48 / $3,728.65 / $3,728.65	Facility		$3,254.48	$3,728.65	$3,728.65
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $658.00 / $1,819.54 / $2,407.28	Professional		$658.00	$1,819.54	$2,407.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $420.15 / $717.75 / $2,059.66	Facility		$420.15	$717.75	$2,059.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $420.15 / $690.52 / $871.69	Professional		$420.15	$690.52	$871.69
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 $362.21 / $529.71 / $1,183.28	Facility		$362.21	$529.71	$1,183.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $577.91 / $705.49 / $705.49	Professional		$577.91	$705.49	$705.49