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 $1,344.06 / $1,344.06 / $1,344.06	Professional		$1,344.06	$1,344.06	$1,344.06
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 $323.16 / $432.96 / $482.31	Facility		$323.16	$432.96	$482.31