Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $85.00 / $85.00	Facility		$80.00	$85.00	$85.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $29.24 / $47.64 / $54.78	Professional		$29.24	$47.64	$54.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.82 / $19.95 / $24.48	Facility		$14.82	$19.95	$24.48