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 / $253.57	Facility		$55.00	$55.00	$253.57
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,017.00 / $1,017.00 / $1,157.05	Professional		$1,017.00	$1,017.00	$1,157.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.56 / $384.40 / $705.02	Professional		$303.56	$384.40	$705.02
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 $121.98 / $201.93 / $255.27	Facility		$121.98	$201.93	$255.27