Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,141.33 / $6,478.56	Facility		$55.00	$2,141.33	$6,478.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,855.25 / $3,167.34 / $3,998.35	Facility		$1,855.25	$3,167.34	$3,998.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,219.01 / $2,993.56 / $3,212.65	Facility		$2,219.01	$2,993.56	$3,212.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,141.33 / $2,141.33 / $2,191.32	Facility		$2,141.33	$2,141.33	$2,191.32