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 / $6,533.64	Facility		$55.00	$55.00	$6,533.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $12,122.00 / $12,122.00 / $12,122.00	Professional		$12,122.00	$12,122.00	$12,122.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,465.27 / $3,122.67 / $3,527.18	Facility		$2,465.27	$3,122.67	$3,527.18