Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,956.60 / $18,458.89 / $36,111.08	Facility		$9,956.60	$18,458.89	$36,111.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $922.61 / $1,580.03 / $5,582.93	Professional		$922.61	$1,580.03	$5,582.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,626.41 / $6,417.76 / $29,119.98	Facility		$4,626.41	$6,417.76	$29,119.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,957.07 / $4,626.41 / $8,804.57	Professional		$1,957.07	$4,626.41	$8,804.57
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 $769.03 / $3,411.04 / $5,428.21	Facility		$769.03	$3,411.04	$5,428.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $874.24 / $874.24 / $904.64	Facility		$874.24	$874.24	$904.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $938.59 / $1,493.61 / $1,793.05	Professional		$938.59	$1,493.61	$1,793.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,241.40 / $18,867.00 / $36,111.08	Facility		$12,241.40	$18,867.00	$36,111.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $922.61 / $1,257.60 / $1,693.96	Professional		$922.61	$1,257.60	$1,693.96
United Facility/Professional Professional Modifier Low / Median / High Price $871.81 / $1,252.33 / $1,847.97	Professional		$871.81	$1,252.33	$1,847.97