Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $81.00 / $81.00 / $81.00	Facility		$81.00	$81.00	$81.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $95.04 / $117.74	Facility		$50.00	$95.04	$117.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.00 / $81.00 / $81.00	Facility		$81.00	$81.00	$81.00