Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $152.41 / $486.21 / $12,103.56	Facility		$152.41	$486.21	$12,103.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $117.42 / $6,916.14 / $32,026.29	Professional		$117.42	$6,916.14	$32,026.29
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 $8,459.25 / $8,459.25 / $8,459.25	Professional		$8,459.25	$8,459.25	$8,459.25
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 $47.57 / $67.37 / $151.96	Facility		$47.57	$67.37	$151.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.22 / $94.22 / $5,012.83	Facility		$94.22	$94.22	$5,012.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.20 / $9,463.99 / $16,111.13	Professional		$184.20	$9,463.99	$16,111.13
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 $129.38 / $5,100.42 / $8,368.23	Professional		$129.38	$5,100.42	$8,368.23
United Facility/Professional Professional Modifier Low / Median / High Price $86.95 / $118.00 / $207.94	Professional		$86.95	$118.00	$207.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.34 / $80.72 / $80.72	Professional		$77.34	$80.72	$80.72