Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $503.50 / $2,091.81 / $2,134.50	Facility		$503.50	$2,091.81	$2,134.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,166.00 / $2,280.00 / $2,280.00	Professional		$2,166.00	$2,280.00	$2,280.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $503.50 / $543.78 / $651.51	Professional		$503.50	$543.78	$651.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $503.50 / $503.50 / $503.50	Facility		$503.50	$503.50	$503.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $503.50 / $79,999.20 / $79,999.20	Facility		$503.50	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $427.97 / $503.50 / $1,153.02	Facility		$427.97	$503.50	$1,153.02