Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $589.91 / $589.91 / $589.91	Facility		$589.91	$589.91	$589.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.16 / $589.91 / $632.99	Professional		$406.16	$589.91	$632.99
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,515.10 / $3,202.14 / $3,202.14	Facility		$1,515.10	$3,202.14	$3,202.14
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,233.70 / $3,215.85 / $3,763.97	Professional		$1,233.70	$3,215.85	$3,763.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $746.51 / $1,298.43 / $2,059.66	Facility		$746.51	$1,298.43	$2,059.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $746.51 / $1,182.92 / $1,778.88	Professional		$746.51	$1,182.92	$1,778.88
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 $605.87 / $708.79 / $1,330.00	Facility		$605.87	$708.79	$1,330.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,010.61 / $1,233.70 / $1,233.70	Professional		$1,010.61	$1,233.70	$1,233.70