Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $764.10 / $1,466.13 / $83,492.39	Facility		$764.10	$1,466.13	$83,492.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $989.26 / $1,680.69 / $4,880.03	Professional		$989.26	$1,680.69	$4,880.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,120.86 / $18,500.02 / $54,146.93	Facility		$2,120.86	$18,500.02	$54,146.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,710.44 / $1,710.44 / $1,710.44	Professional		$1,710.44	$1,710.44	$1,710.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $358.70 / $2,406.14 / $27,653.23	Facility		$358.70	$2,406.14	$27,653.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $764.10 / $982.10 / $1,466.13	Facility		$764.10	$982.10	$1,466.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $952.75 / $1,316.53 / $1,778.85	Professional		$952.75	$1,316.53	$1,778.85