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 / $6,610.74	Facility		$55.00	$55.00	$6,610.74
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $12,098.52 / $12,098.52 / $12,098.52	Professional		$12,098.52	$12,098.52	$12,098.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,391.98 / $3,307.79 / $3,970.42	Facility		$2,391.98	$3,307.79	$3,970.42