Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $66.80 / $164.12 / $364.85	Facility		$66.80	$164.12	$364.85
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $110.14 / $189.84 / $693.68	Professional		$110.14	$189.84	$693.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $25.23 / $73.93 / $124.31	Facility		$25.23	$73.93	$124.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $277.05 / $277.05 / $277.05	Professional		$277.05	$277.05	$277.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $50.00	Professional		$30.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $105.95 / $157.86 / $161.47	Facility		$105.95	$157.86	$161.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.17 / $109.17 / $110.14	Facility		$109.17	$109.17	$110.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.14 / $183.38 / $219.48	Professional		$114.14	$183.38	$219.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $59.76 / $84.33 / $161.41	Facility		$59.76	$84.33	$161.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $111.34 / $153.54 / $201.69	Professional		$111.34	$153.54	$201.69
United Facility/Professional Professional Modifier Low / Median / High Price $86.33 / $132.54 / $231.37	Professional		$86.33	$132.54	$231.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $246.80 / $246.80 / $246.80	Professional		$246.80	$246.80	$246.80