Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $477.72 / $477.72	Facility		$158.49	$477.72	$477.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $625.42 / $684.55 / $684.55	Professional		$625.42	$684.55	$684.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.06 / $206.06 / $259.10	Professional		$206.06	$206.06	$259.10
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 $646.16 / $646.16 / $646.16	Facility		$646.16	$646.16	$646.16