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 / $90.00	Facility		$90.00	$90.00	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $268.88 / $268.88	Professional		$212.00	$268.88	$268.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.97 / $42.48 / $54.52	Professional		$33.97	$42.48	$54.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.96 / $44.46 / $57.00	Facility		$35.96	$44.46	$57.00