Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $281.62 / $493.33 / $823.59	Facility		$281.62	$493.33	$823.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $434.12 / $434.12 / $434.12	Facility		$434.12	$434.12	$434.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $434.12 / $434.12 / $434.12	Professional		$434.12	$434.12	$434.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $297.97 / $393.25 / $416.16	Facility		$297.97	$393.25	$416.16