Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $931.33 / $931.33 / $931.33	Facility		$931.33	$931.33	$931.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $179.80 / $318.24 / $475.90	Facility		$179.80	$318.24	$475.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $291.86 / $362.51 / $389.64	Facility		$291.86	$362.51	$389.64