Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,471.46 / $3,686.19 / $7,359.75	Facility		$2,471.46	$3,686.19	$7,359.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,543.92 / $5,148.42 / $16,162.39	Professional		$2,543.92	$5,148.42	$16,162.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $11,483.38 / $41,012.17 / $102,811.32	Facility		$11,483.38	$41,012.17	$102,811.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,807.41 / $7,807.41 / $7,807.41	Professional		$7,807.41	$7,807.41	$7,807.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,178.98 / $1,371.67 / $13,251.51	Facility		$1,178.98	$1,371.67	$13,251.51
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $13,251.51 / $13,251.51 / $13,251.51	Professional		$13,251.51	$13,251.51	$13,251.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,471.46 / $2,471.46 / $3,383.00	Facility		$2,471.46	$2,471.46	$3,383.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,990.37 / $4,258.26 / $5,261.17	Professional		$2,990.37	$4,258.26	$5,261.17