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 / $169.29	Facility		$55.00	$55.00	$169.29
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $876.00 / $876.00 / $876.00	Professional		$876.00	$876.00	$876.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.77 / $227.33 / $287.87	Professional		$183.77	$227.33	$287.87
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 $82.85 / $117.90 / $172.04	Facility		$82.85	$117.90	$172.04