Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $193.80 / $193.80	Facility		$90.00	$193.80	$193.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.92 / $18.92 / $19.91	Facility		$18.92	$18.92	$19.91