Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $136.26 / $227.16	Facility		$90.00	$136.26	$227.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $121.52 / $121.52 / $121.52	Facility		$121.52	$121.52	$121.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.52 / $121.52 / $121.52	Professional		$121.52	$121.52	$121.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $82.37 / $105.86 / $116.96	Facility		$82.37	$105.86	$116.96