Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2.99 / $85.00 / $100.00	Facility		$2.99	$85.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.92 / $5.40	Professional		$2.75	$2.92	$5.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $2.80 / $79,999.20	Facility		$2.24	$2.80	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.99 / $4.48 / $4.48	Facility		$2.99	$4.48	$4.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.75 / $5.40	Professional		$2.49	$2.75	$5.40
United Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $2.69	Professional		$2.24	$2.24	$2.69