Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,758.72 / $11,500.00 / $16,394.00	Facility		$1,758.72	$11,500.00	$16,394.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,313.00 / $1,408.12 / $1,530.66	Professional		$1,313.00	$1,408.12	$1,530.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.65 / $1,110.10 / $1,494.51	Professional		$876.65	$1,110.10	$1,494.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $75.00	Professional		$50.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $372.96 / $506.16 / $594.96	Facility		$372.96	$506.16	$594.96