Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $155.97 / $593.50 / $593.50	Facility		$155.97	$593.50	$593.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $639.41 / $665.33 / $665.33	Professional		$639.41	$665.33	$665.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.43 / $221.43 / $278.43	Professional		$221.43	$221.43	$278.43
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 $193.32 / $258.73 / $291.04	Facility		$193.32	$258.73	$291.04