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 $183.00 / $268.88 / $268.88	Professional		$183.00	$268.88	$268.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.02 / $37.52 / $50.27	Professional		$30.02	$37.52	$50.27
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 $28.14 / $39.90 / $57.00	Facility		$28.14	$39.90	$57.00