Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2.35 / $85.00 / $100.00	Facility		$2.35	$85.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $2.35 / $2.35	Professional		$2.35	$2.35	$2.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3.34 / $79,999.20 / $79,999.20	Facility		$3.34	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.35 / $2.35 / $3.13	Facility		$2.35	$2.35	$3.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $2.35 / $2.35	Professional		$2.35	$2.35	$2.35