Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.98 / $188.98 / $188.98	Facility		$188.98	$188.98	$188.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.12 / $156.25 / $188.98	Professional		$73.12	$156.25	$188.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $401.61 / $1,246.93 / $1,246.93	Facility		$401.61	$1,246.93	$1,246.93
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $1,283.58 / $2,043.38	Professional		$240.00	$1,283.58	$2,043.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $78.48 / $136.88 / $435.09	Facility		$78.48	$136.88	$435.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.36 / $144.71 / $445.35	Professional		$93.36	$144.71	$445.35
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 $383.60 / $448.69 / $469.00	Facility		$383.60	$448.69	$469.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.97 / $144.01 / $144.01	Professional		$117.97	$144.01	$144.01