Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $892.04 / $1,340.15 / $1,340.15	Facility		$892.04	$1,340.15	$1,340.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,969.00 / $1,969.00 / $1,969.00	Professional		$1,969.00	$1,969.00	$1,969.00
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 $284.39 / $375.32 / $443.08	Facility		$284.39	$375.32	$443.08