Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.99 / $222.99 / $222.99	Facility		$222.99	$222.99	$222.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.38 / $222.85 / $222.99	Professional		$156.38	$222.85	$222.99
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $441.60 / $978.66 / $978.66	Facility		$441.60	$978.66	$978.66
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $444.40 / $1,291.28 / $1,307.34	Professional		$444.40	$1,291.28	$1,307.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $251.66 / $438.82 / $2,059.66	Facility		$251.66	$438.82	$2,059.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.66 / $413.61 / $582.85	Professional		$251.66	$413.61	$582.85
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 $197.56 / $294.27 / $1,330.00	Facility		$197.56	$294.27	$1,330.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $461.98 / $563.95 / $563.95	Professional		$461.98	$563.95	$563.95