Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $181.00 / $346.11 / $346.11	Facility		$181.00	$346.11	$346.11
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $683.00 / $683.00 / $683.00	Professional		$683.00	$683.00	$683.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.85 / $163.85 / $206.03	Professional		$163.85	$163.85	$206.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $74.15 / $138.46 / $201.07	Facility		$74.15	$138.46	$201.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.15 / $150.07 / $211.22	Professional		$74.15	$150.07	$211.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $125.97 / $167.70 / $175.24	Facility		$125.97	$167.70	$175.24