Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $87.66 / $87.66 / $87.66	Facility		$87.66	$87.66	$87.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $2,500.00 / $2,500.00	Facility		$2,500.00	$2,500.00	$2,500.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,705.82 / $11,500.00 / $11,500.00	Facility		$2,705.82	$11,500.00	$11,500.00