Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,916.67 / $5,083.49 / $5,083.49	Facility		$1,916.67	$5,083.49	$5,083.49
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8,385.44 / $8,385.44 / $8,385.44	Professional		$8,385.44	$8,385.44	$8,385.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,395.84 / $2,707.29 / $12,757.85	Facility		$2,395.84	$2,707.29	$12,757.85