Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $5,694.18	Facility		$55.00	$55.00	$5,694.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8,992.00 / $8,992.00 / $8,992.00	Professional		$8,992.00	$8,992.00	$8,992.00
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 $2,266.48 / $3,003.65 / $3,289.16	Facility		$2,266.48	$3,003.65	$3,289.16