Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $129.74 / $535.10 / $535.10	Facility		$129.74	$535.10	$535.10
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $536.54 / $549.27 / $549.27	Professional		$536.54	$549.27	$549.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.50 / $183.50 / $230.74	Professional		$183.50	$183.50	$230.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $75.00 / $75.00	Professional		$50.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $160.85 / $215.50 / $244.12	Facility		$160.85	$215.50	$244.12