Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,084.69 / $5,414.80 / $12,000.00	Facility		$3,084.69	$5,414.80	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,058.35 / $2,058.35 / $2,058.35	Professional		$2,058.35	$2,058.35	$2,058.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $853.32 / $1,807.74 / $2,289.17	Professional		$853.32	$1,807.74	$2,289.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $593.39 / $744.42 / $875.02	Facility		$593.39	$744.42	$875.02