Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $132.40 / $861.48 / $4,183.00	Facility		$132.40	$861.48	$4,183.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,034.00 / $7,738.00 / $10,401.00	Facility		$5,034.00	$7,738.00	$10,401.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $158.00 / $158.00 / $158.00	Facility		$158.00	$158.00	$158.00