Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $175.01 / $305.18 / $499.89	Facility		$175.01	$305.18	$499.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $263.83 / $263.83 / $263.83	Facility		$263.83	$263.83	$263.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.83 / $263.83 / $263.83	Professional		$263.83	$263.83	$263.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $183.75 / $243.75 / $257.72	Facility		$183.75	$243.75	$257.72