Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,041.14 / $3,015.54 / $3,015.54	Facility		$1,041.14	$3,015.54	$3,015.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,554.97 / $4,554.97 / $4,961.58	Professional		$4,554.97	$4,554.97	$4,961.58
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 $1,470.60 / $1,470.60 / $6,930.06	Facility		$1,470.60	$1,470.60	$6,930.06