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 / $430.80	Facility		$55.00	$55.00	$430.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $760.58 / $760.58 / $760.58	Professional		$760.58	$760.58	$760.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $141.47 / $190.45 / $208.68	Facility		$141.47	$190.45	$208.68