Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $482.82 / $1,206.82 / $1,755.72	Facility		$482.82	$1,206.82	$1,755.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $395.04 / $623.28 / $3,291.98	Professional		$395.04	$623.28	$3,291.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $504.27 / $504.27 / $630.34	Professional		$504.27	$504.27	$630.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $534.75 / $1,001.17 / $1,546.80	Facility		$534.75	$1,001.17	$1,546.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $534.75 / $974.42 / $1,374.57	Professional		$534.75	$974.42	$1,374.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $438.93 / $438.93 / $968.94	Facility		$438.93	$438.93	$968.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $438.93 / $658.40 / $1,207.06	Facility		$438.93	$658.40	$1,207.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $395.04 / $526.72 / $623.28	Professional		$395.04	$526.72	$623.28