Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $123.72 / $215.29 / $354.12	Facility		$123.72	$215.29	$354.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $187.88 / $187.88 / $187.88	Facility		$187.88	$187.88	$187.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.88 / $187.88 / $187.88	Professional		$187.88	$187.88	$187.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $129.85 / $171.52 / $182.24	Facility		$129.85	$171.52	$182.24