Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $458.89 / $568.74 / $1,918.67	Facility		$458.89	$568.74	$1,918.67
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $481.99 / $732.95 / $970.60	Professional		$481.99	$732.95	$970.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $579.15 / $705.51 / $705.51	Facility		$579.15	$705.51	$705.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $458.89 / $458.89 / $488.99	Facility		$458.89	$458.89	$488.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $488.99 / $749.62 / $970.60	Professional		$488.99	$749.62	$970.60