Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $720.27 / $893.51 / $3,012.52	Facility		$720.27	$893.51	$3,012.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $757.02 / $1,151.49 / $1,524.84	Professional		$757.02	$1,151.49	$1,524.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $909.70 / $1,108.18 / $1,108.18	Facility		$909.70	$1,108.18	$1,108.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $720.27 / $720.27 / $768.22	Facility		$720.27	$720.27	$768.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $768.22 / $1,177.11 / $1,524.84	Professional		$768.22	$1,177.11	$1,524.84