Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $98.00 / $201.18 / $201.18	Facility		$98.00	$201.18	$201.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $500.00 / $500.00	Professional		$500.00	$500.00	$500.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $42.78 / $73.20 / $114.31	Facility		$42.78	$73.20	$114.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.86 / $79.34 / $115.60	Professional		$42.86	$79.34	$115.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $66.86 / $90.35 / $94.52	Facility		$66.86	$90.35	$94.52