Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.21 / $137.21 / $137.21	Facility		$137.21	$137.21	$137.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.34 / $112.56 / $137.21	Professional		$102.34	$112.56	$137.21
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 $234.30 / $738.66 / $1,073.93	Professional		$234.30	$738.66	$1,073.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $126.47 / $220.52 / $2,059.66	Facility		$126.47	$220.52	$2,059.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.47 / $213.46 / $286.94	Professional		$126.47	$213.46	$286.94
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 $161.91 / $236.85 / $1,330.00	Facility		$161.91	$236.85	$1,330.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.13 / $279.70 / $279.70	Professional		$229.13	$279.70	$279.70