Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $2,800.00 / $22,807.05	Facility		$2,800.00	$2,800.00	$22,807.05
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,157.81 / $4,157.81 / $4,349.77	Professional		$4,157.81	$4,157.81	$4,349.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,487.53 / $3,151.30 / $3,990.53	Professional		$1,487.53	$3,151.30	$3,990.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $937.35 / $1,793.02 / $9,096.45	Facility		$937.35	$1,793.02	$9,096.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $804.46 / $1,704.13 / $6,131.83	Professional		$804.46	$1,704.13	$6,131.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,185.57 / $1,487.40 / $1,639.49	Facility		$1,185.57	$1,487.40	$1,639.49