Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $479.01 / $479.01 / $479.01	Facility		$479.01	$479.01	$479.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.26 / $435.37 / $479.01	Professional		$309.26	$435.37	$479.01
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 $821.00 / $2,390.37 / $3,257.55	Professional		$821.00	$2,390.37	$3,257.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $513.94 / $878.65 / $2,059.66	Facility		$513.94	$878.65	$2,059.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $513.94 / $867.44 / $1,074.92	Professional		$513.94	$867.44	$1,074.92
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 $489.53 / $715.88 / $2,303.00	Facility		$489.53	$715.88	$2,303.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $679.00 / $703.17 / $703.17	Professional		$679.00	$703.17	$703.17