Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $96.85 / $96.85 / $173.00	Facility		$96.85	$96.85	$173.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $31.39 / $39.24	Professional		$31.39	$31.39	$39.24