Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,627.63 / $5,015.51	Facility		$55.00	$1,627.63	$5,015.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,872.97 / $3,119.48 / $14,660.15	Professional		$1,872.97	$3,119.48	$14,660.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,515.27 / $4,772.29 / $5,717.75	Professional		$4,515.27	$4,772.29	$5,717.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,174.00 / $2,404.28 / $3,277.43	Facility		$1,174.00	$2,404.28	$3,277.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,149.11 / $2,318.10 / $3,029.54	Professional		$1,149.11	$2,318.10	$3,029.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,671.04 / $2,310.83 / $2,430.09	Facility		$1,671.04	$2,310.83	$2,430.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,627.63 / $1,627.63 / $1,657.54	Facility		$1,627.63	$1,627.63	$1,657.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,851.22 / $2,696.12 / $3,290.05	Professional		$1,851.22	$2,696.12	$3,290.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,207.33 / $6,102.00 / $18,897.00	Facility		$1,207.33	$6,102.00	$18,897.00