Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,503.96 / $1,934.78 / $3,743.04	Facility		$1,503.96	$1,934.78	$3,743.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $49.30 / $334.39 / $371.55	Professional		$49.30	$334.39	$371.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $540.75 / $1,754.83 / $3,188.59	Facility		$540.75	$1,754.83	$3,188.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $650.50 / $1,769.95 / $3,277.87	Facility		$650.50	$1,769.95	$3,277.87
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 $494.31 / $664.16 / $664.16	Facility		$494.31	$664.16	$664.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,477.87 / $1,934.78 / $3,701.02	Facility		$1,477.87	$1,934.78	$3,701.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $305.74 / $305.74 / $687.92	Professional		$305.74	$305.74	$687.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $354.09 / $354.09 / $354.09	Professional		$354.09	$354.09	$354.09