Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.38 / $60.38 / $60.38	Facility		$60.38	$60.38	$60.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $54.97 / $60.38	Professional		$38.54	$54.97	$60.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $79.70 / $247.97 / $247.97	Facility		$79.70	$247.97	$247.97
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $300.23 / $405.60	Professional		$101.00	$300.23	$405.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $51.15 / $108.26 / $135.59	Facility		$51.15	$108.26	$135.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $109.59 / $136.53	Professional		$65.34	$109.59	$136.53
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 $61.02 / $89.21 / $93.13	Facility		$61.02	$89.21	$93.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.05 / $145.33 / $145.33	Professional		$119.05	$145.33	$145.33