Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $458.00 / $10,122.46 / $27,982.24	Facility		$458.00	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.08 / $330.07 / $458.00	Professional		$238.08	$330.07	$458.00
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 $514.71 / $1,813.11 / $2,685.23	Professional		$514.71	$1,813.11	$2,685.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $295.38 / $515.04 / $2,059.66	Facility		$295.38	$515.04	$2,059.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.38 / $496.48 / $669.83	Professional		$295.38	$496.48	$669.83
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 $403.04 / $589.49 / $616.40	Facility		$403.04	$589.49	$616.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.63 / $514.71 / $514.71	Professional		$421.63	$514.71	$514.71