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 / $4,664.43	Facility		$55.00	$55.00	$4,664.43
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $13,636.00 / $13,636.00 / $13,636.00	Professional		$13,636.00	$13,636.00	$13,636.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,827.05 / $2,354.07 / $2,547.28	Facility		$1,827.05	$2,354.07	$2,547.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,263.48 / $1,389.00 / $4,332.00	Facility		$1,263.48	$1,389.00	$4,332.00