Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $120.11 / $174.54 / $195.00	Facility		$120.11	$174.54	$195.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.82 / $57.82 / $72.28	Professional		$57.82	$57.82	$72.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $289.95 / $289.95 / $289.95	Facility		$289.95	$289.95	$289.95