Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $363.45 / $627.29 / $627.29	Facility		$363.45	$627.29	$627.29
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $832.69 / $893.86 / $893.86	Professional		$832.69	$893.86	$893.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.58 / $288.58 / $362.87	Professional		$288.58	$288.58	$362.87
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 $250.97 / $336.67 / $393.04	Facility		$250.97	$336.67	$393.04