Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $126.06 / $260.33 / $260.33	Facility		$126.06	$260.33	$260.33
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $116.63 / $235.12 / $565.95	Professional		$116.63	$235.12	$565.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.52 / $273.36 / $438.72	Professional		$153.52	$273.36	$438.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $23.56 / $49.99 / $147.52	Facility		$23.56	$49.99	$147.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.56 / $49.99 / $147.81	Professional		$23.56	$49.99	$147.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.24 / $141.37 / $182.24	Facility		$37.24	$141.37	$182.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.05 / $120.05 / $120.05	Facility		$120.05	$120.05	$120.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.81 / $162.36 / $232.03	Professional		$105.81	$162.36	$232.03