Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $85.00 / $100.00	Facility		$0.66	$85.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $0.66 / $0.66	Professional		$0.66	$0.66	$0.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.71 / $79,999.20 / $79,999.20	Facility		$0.71	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $0.66 / $1.15	Facility		$0.66	$0.66	$1.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $0.66 / $0.66	Professional		$0.66	$0.66	$0.66