Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $442.40 / $1,221.85 / $1,221.85	Facility		$442.40	$1,221.85	$1,221.85
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,935.50 / $1,935.50 / $2,010.38	Professional		$1,935.50	$1,935.50	$2,010.38
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 $624.89 / $624.89 / $2,944.73	Facility		$624.89	$624.89	$2,944.73