Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,069.08 / $5,522.95	Facility		$55.00	$1,069.08	$5,522.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,109.38 / $2,184.30 / $6,983.33	Professional		$1,109.38	$2,184.30	$6,983.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,613.56 / $1,613.56 / $1,613.56	Professional		$1,613.56	$1,613.56	$1,613.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $962.11 / $1,458.95 / $2,187.05	Facility		$962.11	$1,458.95	$2,187.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $986.14 / $1,524.55 / $2,266.96	Professional		$986.14	$1,524.55	$2,266.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,023.12 / $1,483.57 / $1,613.36	Facility		$1,023.12	$1,483.57	$1,613.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.83 / $1,069.08 / $1,100.46	Facility		$759.83	$1,069.08	$1,100.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,100.46 / $1,821.59 / $2,184.30	Professional		$1,100.46	$1,821.59	$2,184.30