Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,840.71 / $3,922.06 / $9,955.87	Facility		$2,840.71	$3,922.06	$9,955.87
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,840.71 / $4,302.14 / $18,140.55	Professional		$2,840.71	$4,302.14	$18,140.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,359.14 / $6,359.14 / $6,359.14	Professional		$6,359.14	$6,359.14	$6,359.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,735.04 / $3,418.80 / $4,164.72	Facility		$2,735.04	$3,418.80	$4,164.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,840.71 / $2,840.71 / $3,648.92	Facility		$2,840.71	$2,840.71	$3,648.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,840.71 / $3,747.55 / $5,638.53	Professional		$2,840.71	$3,747.55	$5,638.53