Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $827.63 / $2,645.21 / $87,969.10	Facility		$827.63	$2,645.21	$87,969.10
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $867.83 / $1,617.99 / $5,334.30	Professional		$867.83	$1,617.99	$5,334.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,999.59 / $34,937.72 / $54,146.93	Facility		$3,999.59	$34,937.72	$54,146.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,870.25 / $1,870.25 / $1,870.25	Professional		$1,870.25	$1,870.25	$1,870.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $543.27 / $4,334.74 / $28,749.85	Facility		$543.27	$4,334.74	$28,749.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $827.63 / $827.63 / $2,645.21	Facility		$827.63	$827.63	$2,645.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $867.83 / $1,390.93 / $1,664.76	Professional		$867.83	$1,390.93	$1,664.76