Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $225.69 / $417.52 / $1,152.40	Facility		$225.69	$417.52	$1,152.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $238.23 / $238.23 / $238.23	Professional		$238.23	$238.23	$238.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $360.42 / $423.49 / $79,999.20	Facility		$360.42	$423.49	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.12 / $361.10 / $631.91	Facility		$203.12	$361.10	$631.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.23 / $238.23 / $238.23	Professional		$238.23	$238.23	$238.23