Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $230.00 / $230.00	Facility		$230.00	$230.00	$230.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $199.32 / $247.59	Facility		$135.00	$199.32	$247.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $230.00 / $230.00	Facility		$230.00	$230.00	$230.00