Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $137.13 / $137.13	Facility		$50.00	$137.13	$137.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $45.74 / $199.62 / $267.83	Professional		$45.74	$199.62	$267.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $50.75 / $148.51 / $452.65	Facility		$50.75	$148.51	$452.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.87 / $100.87 / $100.87	Professional		$100.87	$100.87	$100.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $40.47 / $61.64 / $61.64	Facility		$40.47	$61.64	$61.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $72.44 / $85.90	Professional		$42.95	$72.44	$85.90