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 $1,406.43 / $1,703.26 / $1,703.26	Professional		$1,406.43	$1,703.26	$1,703.26
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 $472.39 / $631.14 / $737.96	Facility		$472.39	$631.14	$737.96