Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,041.76 / $3,616.95 / $3,616.95	Facility		$2,041.76	$3,616.95	$3,616.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,429.00 / $1,429.00 / $1,429.00	Professional		$1,429.00	$1,429.00	$1,429.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $75.00	Professional		$50.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $298.94 / $399.55 / $465.13	Facility		$298.94	$399.55	$465.13