Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $106.29 / $782.73 / $782.73	Facility		$106.29	$782.73	$782.73
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,741.31 / $1,741.31 / $2,077.25	Professional		$1,741.31	$1,741.31	$2,077.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $602.10 / $602.10 / $602.10	Facility		$602.10	$602.10	$602.10