Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $589.72 / $1,035.15 / $1,035.15	Facility		$589.72	$1,035.15	$1,035.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $484.32 / $518.29 / $518.29	Professional		$484.32	$518.29	$518.29
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 $137.69 / $182.24 / $198.32	Facility		$137.69	$182.24	$198.32