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 / $6,333.72	Facility		$55.00	$55.00	$6,333.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9,730.00 / $9,730.00 / $9,730.00	Professional		$9,730.00	$9,730.00	$9,730.00
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 $2,480.64 / $3,355.95 / $3,570.60	Facility		$2,480.64	$3,355.95	$3,570.60