Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $135.00 / $240.71	Facility		$135.00	$135.00	$240.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $90.00 / $200.00	Facility		$50.00	$90.00	$200.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $135.00 / $240.71	Facility		$135.00	$135.00	$240.71