Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.51 / $181.51 / $181.51	Facility		$181.51	$181.51	$181.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.06 / $171.36 / $181.51	Professional		$112.06	$171.36	$181.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,869.40 / $2,141.75 / $2,141.75	Facility		$1,869.40	$2,141.75	$2,141.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $310.14 / $887.69 / $1,179.30	Professional		$310.14	$887.69	$1,179.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $202.43 / $345.82 / $2,449.33	Facility		$202.43	$345.82	$2,449.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.43 / $332.70 / $419.99	Professional		$202.43	$332.70	$419.99
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 $221.72 / $259.43 / $1,063.00	Facility		$221.72	$259.43	$1,063.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.06 / $310.14 / $310.14	Professional		$254.06	$310.14	$310.14