Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.37 / $62.37 / $62.37	Facility		$62.37	$62.37	$62.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.25 / $53.66 / $62.37	Professional		$41.25	$53.66	$62.37
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,419.07 / $5,062.89 / $5,062.89	Facility		$4,419.07	$5,062.89	$5,062.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $71.89 / $352.42 / $540.38	Professional		$71.89	$352.42	$540.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $54.66 / $91.83 / $2,059.66	Facility		$54.66	$91.83	$2,059.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.66 / $85.54 / $129.86	Professional		$54.66	$85.54	$129.86
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 $80.34 / $117.54 / $1,330.00	Facility		$80.34	$117.54	$1,330.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.18 / $62.18 / $62.18	Professional		$62.18	$62.18	$62.18