Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $834.95 / $2,771.52 / $2,771.52	Facility		$834.95	$2,771.52	$2,771.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,772.97 / $3,772.97 / $3,772.97	Professional		$3,772.97	$3,772.97	$3,772.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $789.88 / $789.88 / $993.21	Professional		$789.88	$789.88	$993.21
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 $741.86 / $1,024.43 / $1,405.56	Facility		$741.86	$1,024.43	$1,405.56