Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $67.17 / $139.38 / $147.47	Facility		$67.17	$139.38	$147.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $144.35 / $350.87	Professional		$63.06	$144.35	$350.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.41 / $146.75 / $274.00	Professional		$82.41	$146.75	$274.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $12.51 / $25.30 / $78.06	Facility		$12.51	$25.30	$78.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $25.11 / $78.34	Professional		$12.40	$25.11	$78.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.11 / $85.76 / $113.23	Facility		$19.11	$85.76	$113.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.29 / $74.29 / $74.29	Facility		$74.29	$74.29	$74.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.89 / $90.71 / $143.72	Professional		$55.89	$90.71	$143.72