Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $246.92 / $572.50 / $572.50	Facility		$246.92	$572.50	$572.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $864.22 / $864.22 / $864.22	Professional		$864.22	$864.22	$864.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $247.16 / $247.16 / $247.16	Facility		$247.16	$247.16	$247.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $370.38 / $370.38 / $832.17	Facility		$370.38	$370.38	$832.17