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 / $2,922.50	Facility		$55.00	$55.00	$2,922.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,297.00 / $1,297.00 / $1,297.00	Professional		$1,297.00	$1,297.00	$1,297.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.83 / $380.95 / $599.87	Professional		$300.83	$380.95	$599.87
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 $139.25 / $206.34 / $242.54	Facility		$139.25	$206.34	$242.54