Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $151.16 / $151.16	Facility		$90.00	$151.16	$151.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $236.16 / $305.48	Professional		$52.40	$236.16	$305.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $33.17 / $53.41 / $94.32	Facility		$33.17	$53.41	$94.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.79 / $65.70 / $95.94	Professional		$33.79	$65.70	$95.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.31 / $65.66 / $72.36	Facility		$46.31	$65.66	$72.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.43 / $84.77 / $100.11	Professional		$50.43	$84.77	$100.11