Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $200.17 / $257.51 / $498.19	Facility		$200.17	$257.51	$498.19
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $24.22 / $76.68 / $110.96	Professional		$24.22	$76.68	$110.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.36 / $237.65 / $540.75	Facility		$233.36	$237.65	$540.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $82.61 / $236.39 / $416.27	Facility		$82.61	$236.39	$416.27
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 $65.79 / $88.40 / $88.40	Facility		$65.79	$88.40	$88.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $190.85 / $257.51 / $492.60	Facility		$190.85	$257.51	$492.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.83 / $38.83 / $87.37	Professional		$38.83	$38.83	$87.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $82.25 / $82.25 / $82.25	Professional		$82.25	$82.25	$82.25