Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $239.33 / $419.26 / $699.21	Facility		$239.33	$419.26	$699.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $368.56 / $368.56 / $368.56	Facility		$368.56	$368.56	$368.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $368.56 / $368.56 / $368.56	Professional		$368.56	$368.56	$368.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $254.36 / $339.30 / $358.36	Facility		$254.36	$339.30	$358.36