Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11.01 / $85.00 / $100.00	Facility		$11.01	$85.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.01 / $11.01 / $11.01	Professional		$11.01	$11.01	$11.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.26 / $79,999.20 / $79,999.20	Facility		$15.26	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.01 / $11.01 / $15.61	Facility		$11.01	$11.01	$15.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.01 / $11.01 / $11.01	Professional		$11.01	$11.01	$11.01