Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,639.00 / $2,943.50 / $2,943.50	Facility		$2,639.00	$2,943.50	$2,943.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7,105.00 / $7,105.00 / $7,105.00	Professional		$7,105.00	$7,105.00	$7,105.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,030.00 / $2,030.00 / $5,075.00	Facility		$2,030.00	$2,030.00	$5,075.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,030.00 / $2,030.00 / $5,075.00	Professional		$2,030.00	$2,030.00	$5,075.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,344.20 / $4,344.20 / $4,344.20	Facility		$4,344.20	$4,344.20	$4,344.20