Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,919.10 / $26,091.73 / $49,939.07	Facility		$8,919.10	$26,091.73	$49,939.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $844.20 / $1,306.81 / $5,960.08	Professional		$844.20	$1,306.81	$5,960.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,505.89 / $15,445.41 / $38,719.32	Facility		$4,505.89	$15,445.41	$38,719.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,677.85 / $1,677.85 / $1,677.85	Professional		$1,677.85	$1,677.85	$1,677.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $902.00 / $4,777.07 / $11,094.13	Facility		$902.00	$4,777.07	$11,094.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $712.92 / $1,459.11 / $2,828.98	Facility		$712.92	$1,459.11	$2,828.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $779.22 / $1,224.29 / $1,485.12	Professional		$779.22	$1,224.29	$1,485.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,534.45 / $24,539.01 / $49,939.07	Facility		$11,534.45	$24,539.01	$49,939.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $940.00 / $1,222.90 / $1,764.19	Professional		$940.00	$1,222.90	$1,764.19
United Facility/Professional Professional Modifier Low / Median / High Price $1,155.99 / $1,615.12 / $3,141.46	Professional		$1,155.99	$1,615.12	$3,141.46