Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $0.73 / $1.64 / $80.00	Facility		$0.73	$1.64	$80.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1.20 / $1.93 / $79,999.20	Facility		$1.20	$1.93	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $1.21 / $2.04	Facility		$0.66	$1.21	$2.04