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 $335.78 / $335.78 / $335.78	Professional		$335.78	$335.78	$335.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $939.61 / $3,155.57 / $7,910.54	Facility		$939.61	$3,155.57	$7,910.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.26 / $140.26 / $140.26	Professional		$140.26	$140.26	$140.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $105.86 / $105.86 / $105.86	Facility		$105.86	$105.86	$105.86
United Facility/Professional Facility Modifier Low / Median / High Price $50.15 / $50.15 / $50.15	Facility		$50.15	$50.15	$50.15