Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $683.97 / $2,827.07 / $5,469.27	Facility		$683.97	$2,827.07	$5,469.27
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $49.30 / $100.00 / $360.40	Professional		$49.30	$100.00	$360.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,060.50 / $2,561.89 / $4,659.12	Facility		$1,060.50	$2,561.89	$4,659.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $235.00 / $635.38 / $1,184.16	Facility		$235.00	$635.38	$1,184.16
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 $202.40 / $528.36 / $1,020.87	Facility		$202.40	$528.36	$1,020.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $259.19 / $259.19 / $259.19	Facility		$259.19	$259.19	$259.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $970.88 / $2,764.34 / $5,407.87	Facility		$970.88	$2,764.34	$5,407.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $119.06 / $119.06 / $267.89	Professional		$119.06	$119.06	$267.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $343.13 / $343.13 / $343.13	Professional		$343.13	$343.13	$343.13