Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $308.95 / $1,288.30 / $1,288.30	Facility		$308.95	$1,288.30	$1,288.30
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $331.05 / $586.99 / $1,889.33	Professional		$331.05	$586.99	$1,889.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $251.87 / $316.70	Professional		$251.87	$251.87	$316.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $376.09 / $376.09 / $376.09	Facility		$376.09	$376.09	$376.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $306.74 / $408.70 / $457.64	Facility		$306.74	$408.70	$457.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $300.25 / $300.25 / $308.95	Facility		$300.25	$300.25	$308.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.42 / $512.09 / $625.46	Professional		$328.42	$512.09	$625.46