Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,270.28 / $3,647.62 / $3,647.62	Facility		$3,270.28	$3,647.62	$3,647.62
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8,804.60 / $8,804.60 / $8,804.60	Professional		$8,804.60	$8,804.60	$8,804.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,515.60 / $2,515.60 / $4,276.52	Facility		$2,515.60	$2,515.60	$4,276.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,515.60 / $2,515.60 / $6,289.00	Professional		$2,515.60	$2,515.60	$6,289.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,383.38 / $5,383.38 / $5,383.38	Facility		$5,383.38	$5,383.38	$5,383.38