Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,394.21 / $7,191.61	Facility		$55.00	$2,394.21	$7,191.61
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $226.71 / $719.16 / $719.16	Facility	AS	$226.71	$719.16	$719.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,654.78 / $3,437.05 / $4,382.68	Facility		$1,654.78	$3,437.05	$4,382.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,497.04 / $3,392.88 / $3,510.13	Facility		$2,497.04	$3,392.88	$3,510.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,343.82 / $2,343.82 / $2,394.21	Facility		$2,343.82	$2,343.82	$2,394.21