Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $643.39 / $1,508.52 / $2,339.60	Facility		$643.39	$1,508.52	$2,339.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $526.41 / $812.36 / $4,386.75	Professional		$526.41	$812.36	$4,386.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $671.95 / $671.95 / $839.94	Professional		$671.95	$671.95	$839.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $696.88 / $1,227.83 / $2,061.51	Facility		$696.88	$1,227.83	$2,061.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $712.69 / $1,227.83 / $1,902.42	Professional		$712.69	$1,227.83	$1,902.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $584.90 / $584.90 / $1,291.17	Facility		$584.90	$584.90	$1,291.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $584.90 / $877.35 / $1,608.48	Facility		$584.90	$877.35	$1,608.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $526.41 / $701.88 / $830.56	Professional		$526.41	$701.88	$830.56
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $441.28 / $555.66	Facility		$380.19	$441.28	$555.66