Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $90.00 / $630.00	Facility		$70.00	$90.00	$630.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $204.00 / $256.48 / $258.39	Professional		$204.00	$256.48	$258.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $34.89 / $65.73 / $109.55	Facility		$34.89	$65.73	$109.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.51 / $64.67 / $110.88	Professional		$34.51	$64.67	$110.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $55.07 / $76.38 / $91.79	Facility		$55.07	$76.38	$91.79