Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $2,616.00 / $6,746.00	Facility		$800.00	$2,616.00	$6,746.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $5,350.00 / $6,746.00	Facility		$800.00	$5,350.00	$6,746.00