Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $186.87 / $541.86 / $541.86	Facility		$186.87	$541.86	$541.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $608.16 / $608.16 / $950.92	Professional		$608.16	$608.16	$950.92
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 $270.83 / $367.46 / $442.68	Facility		$270.83	$367.46	$442.68