Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $46.00 / $69.00 / $357.98	Facility		$46.00	$69.00	$357.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.00 / $46.00 / $708.80	Facility		$46.00	$46.00	$708.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.10 / $68.08 / $105.34	Facility		$39.10	$68.08	$105.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $46.00 / $69.00 / $357.98	Facility		$46.00	$69.00	$357.98