Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,556.69 / $1,821.49 / $1,821.49	Facility		$1,556.69	$1,821.49	$1,821.49
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5,272.00 / $5,272.00 / $5,272.00	Professional		$5,272.00	$5,272.00	$5,272.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $399.73 / $399.73 / $399.73	Facility		$399.73	$399.73	$399.73