Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,674.54 / $6,509.35 / $6,509.35	Facility		$3,674.54	$6,509.35	$6,509.35
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $565.15 / $565.15 / $565.15	Professional		$565.15	$565.15	$565.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $60.00	Professional		$45.00	$50.00	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,533.69 / $2,533.69 / $2,533.69	Facility		$2,533.69	$2,533.69	$2,533.69