Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,087.12 / $6,265.25	Facility		$55.00	$2,087.12	$6,265.25
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $197.63 / $626.53 / $626.53	Facility	AS	$197.63	$626.53	$626.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,442.74 / $3,001.32 / $3,820.16	Facility		$1,442.74	$3,001.32	$3,820.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,174.62 / $2,962.07 / $3,059.89	Facility		$2,174.62	$2,962.07	$3,059.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,044.39 / $2,044.39 / $2,087.12	Facility		$2,044.39	$2,044.39	$2,087.12