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 / $5,062.97	Facility		$55.00	$55.00	$5,062.97
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8,345.00 / $8,345.00 / $8,345.00	Professional		$8,345.00	$8,345.00	$8,345.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,768.91 / $2,385.81 / $2,623.44	Facility		$1,768.91	$2,385.81	$2,623.44