Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $589.35 / $730.33 / $2,462.08	Facility		$589.35	$730.33	$2,462.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $618.82 / $941.19 / $1,246.35	Professional		$618.82	$941.19	$1,246.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $743.60 / $905.84 / $905.84	Facility		$743.60	$905.84	$905.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $589.35 / $589.35 / $627.91	Facility		$589.35	$589.35	$627.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $627.91 / $962.74 / $1,246.35	Professional		$627.91	$962.74	$1,246.35