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 / $6,773.97	Facility		$55.00	$55.00	$6,773.97
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $12,919.80 / $12,919.80 / $12,919.80	Professional		$12,919.80	$12,919.80	$12,919.80
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 $2,328.98 / $3,220.69 / $3,635.25	Facility		$2,328.98	$3,220.69	$3,635.25