Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.74 / $228.74 / $228.74	Facility		$228.74	$228.74	$228.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.13 / $202.40 / $228.74	Professional		$138.13	$202.40	$228.74
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 $232.14 / $1,328.36 / $2,065.65	Professional		$232.14	$1,328.36	$2,065.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $171.03 / $287.02 / $645.92	Facility		$171.03	$287.02	$645.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.03 / $287.02 / $486.29	Professional		$171.03	$287.02	$486.29
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 $310.83 / $454.68 / $474.36	Facility		$310.83	$454.68	$474.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $232.14 / $232.14	Professional		$195.00	$232.14	$232.14