Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $90.00	Facility		$55.00	$55.00	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $93.35 / $94.30 / $198.55	Professional		$93.35	$94.30	$198.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.20 / $53.44 / $217.20	Professional		$42.20	$53.44	$217.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.44 / $71.25 / $83.75	Facility		$21.44	$71.25	$83.75