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 $4,208.52 / $4,208.52 / $4,365.45	Professional		$4,208.52	$4,208.52	$4,365.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,612.83 / $3,416.74 / $4,326.67	Professional		$1,612.83	$3,416.74	$4,326.67
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $975.45 / $1,924.96 / $9,096.45	Facility		$975.45	$1,924.96	$9,096.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $865.58 / $1,781.89 / $6,131.83	Professional		$865.58	$1,781.89	$6,131.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,199.47 / $1,567.15 / $1,778.85	Facility		$1,199.47	$1,567.15	$1,778.85