Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $146.91 / $146.91	Facility		$75.00	$146.91	$146.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $37.93 / $194.36 / $241.58	Professional		$37.93	$194.36	$241.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $61.22 / $73.34	Professional		$57.75	$61.22	$73.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.80 / $0.80 / $1.20	Facility		$0.80	$0.80	$1.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $1.20	Professional		$0.80	$0.80	$1.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $45.65 / $55.61 / $55.61	Facility		$45.65	$55.61	$55.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.93 / $37.93 / $37.93	Professional		$37.93	$37.93	$37.93
United Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00