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 / $2,812.02	Facility		$55.00	$55.00	$2,812.02
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,309.00 / $4,309.00 / $4,309.00	Professional		$4,309.00	$4,309.00	$4,309.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,006.95 / $1,344.72 / $1,443.14	Facility		$1,006.95	$1,344.72	$1,443.14