Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $90.00 / $90.00	Facility		$80.00	$90.00	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $374.68 / $374.68 / $374.68	Professional		$374.68	$374.68	$374.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $102.53 / $398.65 / $999.36	Facility		$102.53	$398.65	$999.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.89 / $165.89 / $165.89	Professional		$165.89	$165.89	$165.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $56.32 / $56.32 / $56.32	Facility		$56.32	$56.32	$56.32