Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,394.00 / $4,309.20 / $9,450.00	Facility		$2,394.00	$4,309.20	$9,450.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,955.60 / $4,818.64 / $4,818.64	Facility		$3,955.60	$4,818.64	$4,818.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,034.90 / $3,543.12 / $5,482.26	Facility		$2,034.90	$3,543.12	$5,482.26