Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $112.02	Facility		$70.00	$70.00	$112.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $115.00 / $300.00	Facility		$35.00	$115.00	$300.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $83.50	Facility		$70.00	$70.00	$83.50