Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $63.80 / $283.32	Professional		$37.60	$63.80	$283.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $80.00	Professional		$50.00	$50.00	$80.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20