Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $302.58 / $302.58	Facility		$22.39	$302.58	$302.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $25.17 / $44.45 / $173.28	Professional		$25.17	$44.45	$173.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.84 / $30.84 / $38.78	Professional		$30.84	$30.84	$38.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $15.02 / $25.51 / $270.29	Facility		$15.02	$25.51	$270.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.56 / $23.54 / $40.97	Professional		$14.56	$23.54	$40.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.77 / $32.10 / $37.52	Facility		$22.77	$32.10	$37.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.20 / $22.20 / $22.39	Facility		$22.20	$22.20	$22.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.21 / $36.67 / $44.45	Professional		$23.21	$36.67	$44.45
United Facility/Professional Professional Modifier Low / Median / High Price $20.18 / $29.03 / $46.20	Professional		$20.18	$29.03	$46.20