Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $651.67 / $9,493.75 / $26,542.00	Facility		$651.67	$9,493.75	$26,542.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $670.79 / $1,194.56 / $8,295.00	Professional		$670.79	$1,194.56	$8,295.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $584.79 / $1,058.92 / $6,620.15	Facility		$584.79	$1,058.92	$6,620.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $586.74 / $1,041.57 / $2,558.84	Professional		$586.74	$1,041.57	$2,558.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $659.28 / $892.44 / $955.42	Facility		$659.28	$892.44	$955.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $629.66 / $651.67 / $1,470.05	Facility		$629.66	$651.67	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $670.79 / $1,085.52 / $1,336.59	Professional		$670.79	$1,085.52	$1,336.59