Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,652.54 / $5,091.57	Facility		$55.00	$1,652.54	$5,091.57
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,729.66 / $3,038.97 / $14,233.00	Professional		$1,729.66	$3,038.97	$14,233.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,174.58 / $2,579.55 / $3,132.81	Facility		$1,174.58	$2,579.55	$3,132.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,510.01 / $2,632.92 / $3,371.59	Professional		$1,510.01	$2,632.92	$3,371.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,827.05 / $2,402.62 / $2,526.57	Facility		$1,827.05	$2,402.62	$2,526.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,652.54 / $1,652.54 / $1,680.39	Facility		$1,652.54	$1,652.54	$1,680.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,765.97 / $2,782.61 / $3,335.41	Professional		$1,765.97	$2,782.61	$3,335.41