Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,217.21 / $2,232.21 / $4,269.97	Facility		$1,217.21	$2,232.21	$4,269.97
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $1,417.51 / $2,077.26	Professional		$750.00	$1,417.51	$2,077.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,239.15 / $1,509.51 / $1,509.51	Facility		$1,239.15	$1,509.51	$1,509.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $981.65 / $981.65 / $1,046.53	Facility		$981.65	$981.65	$1,046.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,046.53 / $1,603.70 / $2,077.26	Professional		$1,046.53	$1,603.70	$2,077.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,705.06 / $2,232.21 / $4,269.97	Facility		$1,705.06	$2,232.21	$4,269.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00
United Facility/Professional Professional Modifier Low / Median / High Price $838.50 / $1,118.00 / $1,874.38	Professional		$838.50	$1,118.00	$1,874.38