Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $197.06 / $244.51 / $823.03	Facility		$197.06	$244.51	$823.03
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $206.96 / $315.10 / $417.27	Professional		$206.96	$315.10	$417.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $248.60 / $302.83 / $302.83	Facility		$248.60	$302.83	$302.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.06 / $197.06 / $210.22	Facility		$197.06	$197.06	$210.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.22 / $321.89 / $417.27	Professional		$210.22	$321.89	$417.27
United Facility/Professional Facility Modifier Low / Median / High Price $150.41 / $150.41 / $150.41	Facility		$150.41	$150.41	$150.41