Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $95.11 / $153.56 / $297.08	Facility		$95.11	$153.56	$297.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $534.00 / $534.00 / $534.00	Professional		$534.00	$534.00	$534.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.29 / $75.70 / $101.02	Facility		$34.29	$75.70	$101.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $50.75 / $200.05 / $363.26	Facility		$50.75	$200.05	$363.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $75.00	Professional		$40.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $131.00 / $238.03	Facility		$82.00	$131.00	$238.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $99.58 / $153.47 / $293.75	Facility		$99.58	$153.47	$293.75