Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Facility		$90.00	$90.00	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $122.82 / $122.82 / $122.82	Professional		$122.82	$122.82	$122.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $31.58 / $35.09 / $59.65	Facility		$31.58	$35.09	$59.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $35.09 / $87.72	Professional		$31.58	$35.09	$87.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00