Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $756.53 / $1,340.15 / $1,340.15	Facility		$756.53	$1,340.15	$1,340.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,572.00 / $1,769.44 / $1,769.44	Professional		$1,572.00	$1,769.44	$1,769.44
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 $484.98 / $647.89 / $758.48	Facility		$484.98	$647.89	$758.48