Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12,154.00 / $20,273.81 / $39,221.83	Facility		$12,154.00	$20,273.81	$39,221.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $482.48 / $1,730.84 / $1,786.29	Professional		$482.48	$1,730.84	$1,786.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $6,397.05 / $9,635.50 / $26,311.49	Facility		$6,397.05	$9,635.50	$26,311.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,886.18 / $9,449.26 / $13,058.89	Professional		$6,886.18	$9,449.26	$13,058.89
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 $4,953.88 / $7,025.13 / $9,765.82	Facility		$4,953.88	$7,025.13	$9,765.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,913.41 / $2,913.41 / $8,748.27	Facility		$2,913.41	$2,913.41	$8,748.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,812.95 / $2,812.95 / $9,041.62	Professional		$2,812.95	$2,812.95	$9,041.62
United Facility/Professional Professional Modifier Low / Median / High Price $1,127.13 / $1,535.75 / $2,652.01	Professional		$1,127.13	$1,535.75	$2,652.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,113.02 / $1,113.02 / $1,113.02	Professional		$1,113.02	$1,113.02	$1,113.02