Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $132.53 / $266.36 / $418.09	Facility		$132.53	$266.36	$418.09
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $140.04 / $263.06 / $835.65	Professional		$140.04	$263.06	$835.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $317.33 / $317.33 / $317.33	Professional		$317.33	$317.33	$317.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $127.60 / $165.16 / $194.30	Facility		$127.60	$165.16	$194.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.53 / $132.53 / $266.36	Facility		$132.53	$132.53	$266.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.52 / $224.46 / $276.08	Professional		$141.52	$224.46	$276.08