Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $96.03 / $177.65 / $505.25	Facility		$96.03	$177.65	$505.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $106.52 / $106.52 / $106.52	Professional		$106.52	$106.52	$106.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $102.93 / $178.25 / $79,999.20	Facility		$102.93	$178.25	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.46 / $153.63 / $268.88	Facility		$85.46	$153.63	$268.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.52 / $106.52 / $106.52	Professional		$106.52	$106.52	$106.52