Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $100.00 / $100.00	Facility		$95.00	$100.00	$100.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $79,999.20 / $79,999.20	Facility		$0.05	$79,999.20	$79,999.20