Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,671.35 / $11,678.40 / $11,678.40	Facility		$4,671.35	$11,678.40	$11,678.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11,678.40 / $11,678.40 / $21,897.00	Professional		$11,678.40	$11,678.40	$21,897.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,627.64 / $2,919.60 / $14,711.86	Facility		$2,627.64	$2,919.60	$14,711.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,627.64 / $2,919.60 / $7,299.00	Professional		$2,627.64	$2,919.60	$7,299.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,159.85 / $6,247.94 / $6,247.94	Facility		$4,159.85	$6,247.94	$6,247.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,773.62 / $2,773.62 / $2,919.60	Facility		$2,773.62	$2,773.62	$2,919.60