Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $4,253.85	Facility		$55.00	$2,000.00	$4,253.85
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5,897.00 / $5,897.00 / $5,897.00	Professional		$5,897.00	$5,897.00	$5,897.00
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 $1,677.34 / $2,268.27 / $2,388.78	Facility		$1,677.34	$2,268.27	$2,388.78