Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $70.00 / $90.00	Facility		$55.00	$70.00	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $155.88 / $227.67	Professional		$153.00	$155.88	$227.67
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 $31.18 / $53.01 / $62.31	Facility		$31.18	$53.01	$62.31