Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $177.70 / $313.50 / $535.26	Facility		$177.70	$313.50	$535.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $283.02 / $283.02 / $283.02	Facility		$283.02	$283.02	$283.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.02 / $283.02 / $283.02	Professional		$283.02	$283.02	$283.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $190.89 / $252.16 / $269.95	Facility		$190.89	$252.16	$269.95