Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $102.59 / $181.86 / $373.04	Facility		$102.59	$181.86	$373.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $76.47 / $97.92 / $132.43	Professional		$76.47	$97.92	$132.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.71 / $117.71 / $147.13	Professional		$117.71	$117.71	$147.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $93.26 / $93.26 / $93.26	Facility		$93.26	$93.26	$93.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.26 / $139.88 / $256.47	Facility		$93.26	$139.88	$256.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.27 / $97.92 / $132.43	Professional		$79.27	$97.92	$132.43