Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,145.90 / $11,500.00 / $26,542.00	Facility		$3,145.90	$11,500.00	$26,542.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,110.00 / $4,110.00 / $4,110.00	Professional		$4,110.00	$4,110.00	$4,110.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,214.71 / $1,659.45 / $1,823.08	Facility		$1,214.71	$1,659.45	$1,823.08