Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $331.72 / $584.80	Facility		$85.00	$331.72	$584.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $117.11 / $460.50	Professional		$70.00	$117.11	$460.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $142.59 / $395.70 / $685.41	Facility		$142.59	$395.70	$685.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.38 / $151.38 / $151.38	Professional		$151.38	$151.38	$151.38
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 $20.03 / $28.90 / $151.96	Facility		$20.03	$28.90	$151.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.12 / $77.01 / $77.01	Facility		$73.12	$77.01	$77.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.13 / $123.18 / $149.97	Professional		$84.13	$123.18	$149.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $287.05 / $442.67 / $846.77	Facility		$287.05	$442.67	$846.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $66.76 / $89.96 / $123.27	Professional		$66.76	$89.96	$123.27
United Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $86.70 / $148.19	Professional		$67.27	$86.70	$148.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $32.50 / $66.95	Professional		$32.50	$32.50	$66.95