Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.00 / $2,654.96 / $12,496.68	Facility		$102.00	$2,654.96	$12,496.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.85 / $61.43 / $102.00	Professional		$52.85	$61.43	$102.00
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 $121.00 / $402.94 / $589.04	Professional		$121.00	$402.94	$589.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $72.42 / $117.66 / $2,059.66	Facility		$72.42	$117.66	$2,059.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.42 / $113.52 / $153.33	Professional		$72.42	$113.52	$153.33
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 $88.69 / $129.72 / $1,330.00	Facility		$88.69	$129.72	$1,330.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.22 / $145.52 / $145.52	Professional		$119.22	$145.52	$145.52