Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,090.32 / $6,347.80	Facility		$55.00	$2,090.32	$6,347.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,340.42 / $11,001.20 / $13,471.65	Professional		$2,340.42	$11,001.20	$13,471.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,507.65 / $5,664.17 / $7,172.61	Professional		$1,507.65	$5,664.17	$7,172.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,439.64 / $2,918.17 / $3,825.30	Facility		$1,439.64	$2,918.17	$3,825.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,439.64 / $2,918.17 / $3,856.59	Professional		$1,439.64	$2,918.17	$3,856.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,138.58 / $2,907.13 / $3,064.58	Facility		$2,138.58	$2,907.13	$3,064.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,067.94 / $2,067.94 / $2,090.32	Facility		$2,067.94	$2,067.94	$2,090.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,191.19 / $3,466.66 / $4,184.22	Professional		$2,191.19	$3,466.66	$4,184.22