Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,116.68 / $2,962.94 / $5,732.12	Facility		$1,116.68	$2,962.94	$5,732.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $277.70 / $3,614.07	Professional		$75.00	$277.70	$3,614.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $270.29 / $986.56 / $2,767.63	Facility		$270.29	$986.56	$2,767.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $757.00 / $963.21 / $1,017.10	Facility		$757.00	$963.21	$1,017.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,116.68 / $2,897.19 / $5,667.77	Facility		$1,116.68	$2,897.19	$5,667.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $15.81 / $3,614.07	Professional		$14.46	$15.81	$3,614.07