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 $1,479.30 / $1,589.17 / $1,589.17	Professional		$1,479.30	$1,589.17	$1,589.17
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 $484.98 / $645.88 / $753.16	Facility		$484.98	$645.88	$753.16