Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,033.73 / $2,645.21 / $65,302.40	Facility		$1,033.73	$2,645.21	$65,302.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,150.93 / $2,051.86 / $6,601.13	Professional		$1,150.93	$2,051.86	$6,601.13
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 $2,314.11 / $2,314.11 / $2,314.11	Professional		$2,314.11	$2,314.11	$2,314.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $579.16 / $4,361.08 / $26,938.01	Facility		$579.16	$4,361.08	$26,938.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,033.73 / $1,097.61 / $2,645.21	Facility		$1,033.73	$1,097.61	$2,645.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,129.86 / $1,750.79 / $2,120.17	Professional		$1,129.86	$1,750.79	$2,120.17