Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $819.83 / $851.36 / $1,378.16	Facility		$819.83	$851.36	$1,378.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,588.32 / $2,588.32 / $2,588.32	Professional		$2,588.32	$2,588.32	$2,588.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,127.16 / $1,182.96 / $1,417.32	Professional		$1,127.16	$1,182.96	$1,417.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,576.14 / $2,576.14 / $2,576.14	Professional		$2,576.14	$2,576.14	$2,576.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $683.28 / $976.12 / $976.12	Facility		$683.28	$976.12	$976.12