Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $22.80 / $81.00 / $112.02	Facility		$22.80	$81.00	$112.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $154.75 / $154.75 / $154.75	Facility		$154.75	$154.75	$154.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.00 / $81.00 / $112.02	Facility		$81.00	$81.00	$112.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $65.84 / $65.84 / $65.84	Facility		$65.84	$65.84	$65.84