Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,300.00 / $1,300.00	Facility		$55.00	$1,300.00	$1,300.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $491.00 / $491.00 / $491.00	Professional		$491.00	$491.00	$491.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.03 / $43.09 / $86.19	Professional		$34.03	$43.09	$86.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $25.65 / $30.36	Facility		$15.60	$25.65	$30.36