Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.82 / $16.82 / $16.82	Facility		$16.82	$16.82	$16.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $16.82 / $20.37	Professional		$11.58	$16.82	$20.37
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $41.25 / $114.73 / $114.73	Facility		$41.25	$114.73	$114.73
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $120.20 / $192.23	Professional		$30.00	$120.20	$192.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $20.96 / $34.29 / $60.07	Facility		$20.96	$34.29	$60.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.76 / $34.15 / $60.75	Professional		$18.76	$34.15	$60.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.34 / $43.34 / $44.89	Facility		$30.34	$43.34	$44.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $59.42 / $59.42	Professional		$35.00	$59.42	$59.42
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $72.00	Professional		$45.00	$45.00	$72.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $37.00 / $37.00	Professional		$37.00	$37.00	$37.00