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 / $4,623.18	Facility		$55.00	$55.00	$4,623.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7,854.00 / $7,854.00 / $7,854.00	Professional		$7,854.00	$7,854.00	$7,854.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,602.24 / $2,158.00 / $2,281.83	Facility		$1,602.24	$2,158.00	$2,281.83