Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $1,974.91 / $1,974.91	Facility		$65.00	$1,974.91	$1,974.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $177.00 / $177.81 / $177.81	Professional		$177.00	$177.81	$177.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $50.74 / $63.81	Professional		$50.74	$50.74	$63.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $64.19 / $78.20	Facility		$47.97	$64.19	$78.20