Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $121.00 / $342.77 / $342.77	Facility		$121.00	$342.77	$342.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $321.69 / $321.69 / $321.69	Professional		$321.69	$321.69	$321.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $61.00 / $76.70	Professional		$61.00	$61.00	$76.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $39.42 / $82.61 / $236.39	Facility		$39.42	$82.61	$236.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $73.26 / $105.13	Professional		$35.35	$73.26	$105.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.39 / $69.68 / $78.28	Facility		$50.39	$69.68	$78.28