Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.56 / $349.56 / $349.56	Facility		$349.56	$349.56	$349.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.36 / $290.39 / $349.56	Professional		$251.36	$290.39	$349.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $553.29 / $1,720.72 / $1,720.72	Facility		$553.29	$1,720.72	$1,720.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $731.18 / $1,905.62 / $2,815.80	Professional		$731.18	$1,905.62	$2,815.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $311.08 / $574.84 / $2,059.66	Facility		$311.08	$574.84	$2,059.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $311.08 / $531.41 / $705.70	Professional		$311.08	$531.41	$705.70
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 $529.59 / $619.58 / $1,330.00	Facility		$529.59	$619.58	$1,330.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $598.97 / $731.18 / $731.18	Professional		$598.97	$731.18	$731.18