Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,762.62 / $5,432.86	Facility		$55.00	$1,762.62	$5,432.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,844.91 / $3,241.73 / $13,636.00	Professional		$1,844.91	$3,241.73	$13,636.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,264.18 / $2,755.72 / $3,346.78	Facility		$1,264.18	$2,755.72	$3,346.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,613.14 / $2,804.64 / $3,599.35	Professional		$1,613.14	$2,804.64	$3,599.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,866.50 / $2,565.42 / $2,700.10	Facility		$1,866.50	$2,565.42	$2,700.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,762.62 / $1,762.62 / $1,792.35	Facility		$1,762.62	$1,762.62	$1,792.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,883.79 / $2,968.27 / $3,557.65	Professional		$1,883.79	$2,968.27	$3,557.65