Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1.65 / $1.65 / $100.00	Professional		$1.65	$1.65	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $50.00	Professional		$30.00	$50.00	$50.00
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