Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $243.12 / $749.48 / $749.48	Facility		$243.12	$749.48	$749.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $267.57 / $1,080.20 / $1,530.00	Professional		$267.57	$1,080.20	$1,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.42 / $216.64 / $259.56	Professional		$206.42	$216.64	$259.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $325.64 / $985.22 / $1,567.64	Facility		$325.64	$985.22	$1,567.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $550.66 / $550.66 / $550.66	Professional		$550.66	$550.66	$550.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $158.50 / $171.14 / $329.46	Facility		$158.50	$171.14	$329.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.77 / $228.77 / $243.12	Facility		$228.77	$228.77	$243.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.25 / $385.02 / $482.58	Professional		$250.25	$385.02	$482.58