Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,213.53 / $11,500.00 / $26,542.00	Facility		$3,213.53	$11,500.00	$26,542.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6,228.00 / $6,228.00 / $6,228.00	Professional		$6,228.00	$6,228.00	$6,228.00
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 $974.81 / $1,348.04 / $1,459.96	Facility		$974.81	$1,348.04	$1,459.96