Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $100.00	Facility		$90.00	$90.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $14.04 / $17.55	Professional		$14.04	$14.04	$17.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $70.43 / $70.43 / $70.43	Facility		$70.43	$70.43	$70.43