Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,834.49 / $4,127.60 / $9,172.45	Facility		$1,834.49	$4,127.60	$9,172.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,394.03 / $79,999.20 / $79,999.20	Facility		$1,394.03	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,632.70 / $3,045.26 / $5,136.58	Facility		$1,632.70	$3,045.26	$5,136.58