Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $134.88	Facility		$100.00	$100.00	$134.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $337.20 / $404.64 / $449.60	Professional		$337.20	$404.64	$449.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,559.00 / $2,559.00 / $2,559.00	Professional		$2,559.00	$2,559.00	$2,559.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1.20 / $1.20 / $1.20	Facility		$1.20	$1.20	$1.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.20 / $1.20	Professional		$1.20	$1.20	$1.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $76.50 / $93.50	Professional		$60.00	$76.50	$93.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.43 / $1,071.43 / $1,071.43	Facility		$1,071.43	$1,071.43	$1,071.43
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,071.43 / $1,071.43 / $1,071.43	Professional		$1,071.43	$1,071.43	$1,071.43