Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,270.26 / $11,500.00 / $12,000.00	Facility		$1,270.26	$11,500.00	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,017.00 / $1,017.00 / $1,017.00	Professional		$1,017.00	$1,017.00	$1,017.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.83 / $380.95 / $730.88	Professional		$300.83	$380.95	$730.88
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 $124.26 / $219.45 / $257.95	Facility		$124.26	$219.45	$257.95