Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Professional		$55.00	$55.00	$55.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $50.75 / $200.05 / $363.26	Facility		$50.75	$200.05	$363.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $75.00	Professional		$40.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.63 / $131.00 / $238.03	Facility		$51.63	$131.00	$238.03