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 / $6,109.92	Facility		$55.00	$55.00	$6,109.92
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10,682.00 / $11,725.87 / $11,725.87	Professional		$10,682.00	$11,725.87	$11,725.87
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 $1,679.28 / $2,322.21 / $2,711.28	Facility		$1,679.28	$2,322.21	$2,711.28