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 $132.00 / $140.00 / $234.38	Facility		$132.00	$140.00	$234.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $230.00 / $230.00	Facility		$230.00	$230.00	$230.00