Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,729.10 / $5,328.00	Facility		$55.00	$1,729.10	$5,328.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,809.63 / $3,178.58 / $14,489.00	Professional		$1,809.63	$3,178.58	$14,489.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,230.08 / $2,700.62 / $3,279.86	Facility		$1,230.08	$2,700.62	$3,279.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,580.89 / $2,754.27 / $3,528.51	Professional		$1,580.89	$2,754.27	$3,528.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,830.93 / $2,514.51 / $2,627.07	Facility		$1,830.93	$2,514.51	$2,627.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,729.10 / $1,729.10 / $1,758.08	Facility		$1,729.10	$1,729.10	$1,758.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,847.09 / $2,910.44 / $3,489.61	Professional		$1,847.09	$2,910.44	$3,489.61