Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $433.00 / $6,470.00 / $27,982.24	Facility		$433.00	$6,470.00	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.25 / $203.44 / $433.00	Professional		$183.25	$203.44	$433.00
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 $421.63 / $1,334.79 / $1,935.08	Professional		$421.63	$1,334.79	$1,935.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $251.89 / $409.22 / $2,059.66	Facility		$251.89	$409.22	$2,059.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.89 / $394.95 / $531.74	Professional		$251.89	$394.95	$531.74
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 $290.64 / $425.01 / $466.32	Facility		$290.64	$425.01	$466.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.63 / $514.71 / $514.71	Professional		$421.63	$514.71	$514.71