Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $138.91 / $293.25 / $578.78	Facility		$138.91	$293.25	$578.78
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $87.45 / $120.00	Professional		$50.40	$87.45	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $81.59 / $81.59	Professional		$81.59	$81.59	$81.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $50.00	Professional		$45.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $216.08 / $277.81 / $424.44	Facility		$216.08	$277.81	$424.44