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 / $1,300.00	Facility		$55.00	$55.00	$1,300.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,154.00 / $2,154.00 / $2,154.00	Professional		$2,154.00	$2,154.00	$2,154.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $291.67 / $398.24 / $424.41	Facility		$291.67	$398.24	$424.41