Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,145.90 / $11,500.00 / $16,394.00	Facility		$3,145.90	$11,500.00	$16,394.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,372.99 / $4,159.95 / $4,159.95	Professional		$3,372.99	$4,159.95	$4,159.95
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 $1,049.43 / $1,415.05 / $1,560.60	Facility		$1,049.43	$1,415.05	$1,560.60