Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $36.75 / $36.75 / $1,917.00	Facility		$36.75	$36.75	$1,917.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $62.98 / $62.98 / $62.98	Facility		$62.98	$62.98	$62.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36.75 / $36.75 / $36.75	Facility		$36.75	$36.75	$36.75