Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $136.66 / $436.03 / $436.03	Facility		$136.66	$436.03	$436.03
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $41.57 / $455.63 / $719.10	Professional		$41.57	$455.63	$719.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $38.54	Professional		$38.54	$38.54	$38.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $31.93 / $60.91 / $153.25	Facility		$31.93	$60.91	$153.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.64 / $56.13 / $170.70	Professional		$31.64	$56.13	$170.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $65.00	Professional		$45.00	$50.00	$65.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $109.91 / $163.84 / $167.50	Facility		$109.91	$163.84	$167.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.45 / $268.45 / $396.00	Professional		$268.45	$268.45	$396.00
United Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $132.00 / $139.00	Professional		$132.00	$132.00	$139.00