Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.00 / $259.00 / $259.00	Facility		$259.00	$259.00	$259.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.33 / $129.56 / $259.00	Professional		$117.33	$129.56	$259.00
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 $264.00 / $850.03 / $1,237.73	Professional		$264.00	$850.03	$1,237.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $150.66 / $262.70 / $2,059.66	Facility		$150.66	$262.70	$2,059.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.66 / $253.44 / $335.79	Professional		$150.66	$253.44	$335.79
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 $185.71 / $271.61 / $1,330.00	Facility		$185.71	$271.61	$1,330.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.77 / $275.62 / $275.62	Professional		$225.77	$275.62	$275.62