Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,046.53 / $4,104.64	Facility		$750.00	$1,046.53	$4,104.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,031.35 / $1,568.65 / $2,077.26	Professional		$1,031.35	$1,568.65	$2,077.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,239.15 / $1,509.51 / $1,509.51	Facility		$1,239.15	$1,509.51	$1,509.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $981.65 / $981.65 / $1,046.53	Facility		$981.65	$981.65	$1,046.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,046.53 / $1,603.70 / $2,077.26	Professional		$1,046.53	$1,603.70	$2,077.26