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 / $4,768.05	Facility		$55.00	$55.00	$4,768.05
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 $1,692.36 / $2,286.27 / $2,359.07	Facility		$1,692.36	$2,286.27	$2,359.07