Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $356.51 / $450.65 / $1,075.76	Facility		$356.51	$450.65	$1,075.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $369.89 / $658.43 / $2,293.42	Professional		$369.89	$658.43	$2,293.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $804.13 / $804.13 / $804.13	Professional		$804.13	$804.13	$804.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $315.97 / $447.63 / $526.62	Facility		$315.97	$447.63	$526.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $356.51 / $356.51 / $359.20	Facility		$356.51	$356.51	$359.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.19 / $599.16 / $736.72	Professional		$376.19	$599.16	$736.72