Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $68.00 / $77.40	Professional		$68.00	$68.00	$77.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $690.09 / $886.02 / $2,131.77	Facility		$690.09	$886.02	$2,131.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $50.00	Professional		$45.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $237.62 / $591.00 / $79,999.20	Facility		$237.62	$591.00	$79,999.20