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 $1,561.00 / $1,654.48 / $1,654.48	Professional		$1,561.00	$1,654.48	$1,654.48
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 $501.27 / $667.45 / $775.20	Facility		$501.27	$667.45	$775.20