Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.00 / $6,470.00 / $27,982.24	Facility		$387.00	$6,470.00	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.84 / $170.10 / $387.00	Professional		$155.84	$170.10	$387.00
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 $369.60 / $1,116.36 / $1,611.30	Professional		$369.60	$1,116.36	$1,611.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $200.31 / $349.28 / $2,059.66	Facility		$200.31	$349.28	$2,059.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.31 / $337.38 / $439.64	Professional		$200.31	$337.38	$439.64
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 $242.88 / $354.40 / $1,330.00	Facility		$242.88	$354.40	$1,330.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.63 / $514.71 / $514.71	Professional		$421.63	$514.71	$514.71