Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $292.52 / $292.52 / $292.52	Facility		$292.52	$292.52	$292.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $62.58 / $109.20 / $167.21	Facility		$62.58	$109.20	$167.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $80.81 / $119.33 / $132.66	Facility		$80.81	$119.33	$132.66