Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.21 / $153.21 / $153.21	Facility		$153.21	$153.21	$153.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.31 / $137.44 / $153.21	Professional		$88.31	$137.44	$153.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,254.48 / $3,728.65 / $3,728.65	Facility		$3,254.48	$3,728.65	$3,728.65
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $166.31 / $902.23 / $1,421.10	Professional		$166.31	$902.23	$1,421.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $109.07 / $188.48 / $5,309.14	Facility		$109.07	$188.48	$5,309.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.07 / $183.08 / $330.31	Professional		$109.07	$183.08	$330.31
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 $266.72 / $312.12 / $2,303.00	Facility		$266.72	$312.12	$2,303.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.22 / $166.31 / $166.31	Professional		$136.22	$166.31	$166.31