Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $450.91 / $789.09 / $1,803.64	Facility		$450.91	$789.09	$1,803.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $405.82 / $2,254.55 / $3,381.83	Professional		$405.82	$2,254.55	$3,381.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,335.60 / $1,335.60 / $1,335.60	Facility		$1,335.60	$1,335.60	$1,335.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,217.46 / $1,217.46 / $1,217.46	Professional		$1,217.46	$1,217.46	$1,217.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $450.91 / $450.91 / $450.91	Facility		$450.91	$450.91	$450.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $405.82 / $450.91 / $1,188.15	Facility		$405.82	$450.91	$1,188.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $405.82 / $563.64 / $680.87	Professional		$405.82	$563.64	$680.87