Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $181.00 / $348.00 / $348.00	Facility		$181.00	$348.00	$348.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $445.18 / $459.01 / $459.01	Professional		$445.18	$459.01	$459.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.50 / $164.50 / $206.84	Professional		$164.50	$164.50	$206.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $74.78 / $138.99 / $201.66	Facility		$74.78	$138.99	$201.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.78 / $150.65 / $212.24	Professional		$74.78	$150.65	$212.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $125.97 / $167.05 / $176.12	Facility		$125.97	$167.05	$176.12
United Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00