Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,828.98 / $2,828.98 / $2,828.98	Facility		$2,828.98	$2,828.98	$2,828.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,505.89 / $4,505.89 / $4,505.89	Facility		$4,505.89	$4,505.89	$4,505.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,814.55 / $22,295.00 / $79,999.20	Facility		$6,814.55	$22,295.00	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,828.98 / $2,828.98 / $2,828.98	Facility		$2,828.98	$2,828.98	$2,828.98