Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,483.12 / $4,634.55	Facility		$55.00	$1,483.12	$4,634.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,567.84 / $3,023.36 / $9,489.00	Professional		$1,567.84	$3,023.36	$9,489.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,320.61 / $2,350.44 / $2,854.58	Facility		$1,320.61	$2,350.44	$2,854.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,375.90 / $2,350.44 / $2,854.58	Professional		$1,375.90	$2,350.44	$2,854.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,570.26 / $2,131.27 / $2,233.11	Facility		$1,570.26	$2,131.27	$2,233.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,483.12 / $1,483.12 / $1,523.18	Facility		$1,483.12	$1,483.12	$1,523.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,567.84 / $2,540.75 / $3,124.02	Professional		$1,567.84	$2,540.75	$3,124.02