Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $771.09 / $2,922.50	Facility		$55.00	$771.09	$2,922.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $771.09 / $1,477.06 / $2,380.44	Professional		$771.09	$1,477.06	$2,380.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.32 / $112.31 / $354.70	Professional		$89.32	$112.31	$354.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $75.00 / $75.00	Professional		$50.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $96.39 / $249.09 / $303.51	Facility		$96.39	$249.09	$303.51