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 / $6,453.78	Facility		$55.00	$55.00	$6,453.78
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $13,549.56 / $13,549.56 / $13,549.56	Professional		$13,549.56	$13,549.56	$13,549.56
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 $2,191.77 / $3,262.11 / $3,834.41	Facility		$2,191.77	$3,262.11	$3,834.41