Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $547.67 / $790.94 / $1,456.85	Facility		$547.67	$790.94	$1,456.85
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $251.33 / $422.14 / $1,655.55	Professional		$251.33	$422.14	$1,655.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $246.87 / $305.92 / $1,871.27	Facility		$246.87	$305.92	$1,871.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $214.11 / $305.92 / $676.74	Professional		$214.11	$305.92	$676.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $127.00 / $206.38 / $279.05	Facility		$127.00	$206.38	$279.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.98 / $245.98 / $262.77	Facility		$245.98	$245.98	$262.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.38 / $430.27 / $523.65	Professional		$295.38	$430.27	$523.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $555.73 / $761.16 / $1,456.85	Facility		$555.73	$761.16	$1,456.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $251.33 / $374.03 / $493.93	Professional		$251.33	$374.03	$493.93
United Facility/Professional Facility Modifier Low / Median / High Price $224.45 / $234.17 / $240.38	Facility		$224.45	$234.17	$240.38
United Facility/Professional Professional Modifier Low / Median / High Price $199.04 / $263.10 / $441.50	Professional		$199.04	$263.10	$441.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.05 / $53.05 / $167.11	Professional		$53.05	$53.05	$167.11