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 / $5,204.25	Facility		$55.00	$55.00	$5,204.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8,781.00 / $8,781.00 / $8,781.00	Professional		$8,781.00	$8,781.00	$8,781.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,834.32 / $2,492.27 / $2,673.01	Facility		$1,834.32	$2,492.27	$2,673.01