Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.35 / $182.35 / $182.35	Facility		$182.35	$182.35	$182.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.51 / $153.77 / $182.35	Professional		$126.51	$153.77	$182.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $295.91 / $919.62 / $919.62	Facility		$295.91	$919.62	$919.62
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $273.00 / $1,009.33 / $1,505.93	Professional		$273.00	$1,009.33	$1,505.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $148.62 / $262.23 / $360.05	Facility		$148.62	$262.23	$360.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.16 / $262.23 / $368.42	Professional		$156.16	$262.23	$368.42
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 $283.18 / $331.38 / $345.72	Facility		$283.18	$331.38	$345.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $264.79 / $323.22 / $323.22	Professional		$264.79	$323.22	$323.22