Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,142.00 / $4,662.00 / $8,820.00	Facility		$2,142.00	$4,662.00	$8,820.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,142.00 / $2,142.00 / $2,142.00	Professional		$2,142.00	$2,142.00	$2,142.00
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 $2,142.00 / $4,536.00 / $6,930.00	Facility		$2,142.00	$4,536.00	$6,930.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,142.00 / $2,142.00 / $2,142.00	Professional		$2,142.00	$2,142.00	$2,142.00