Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $142.56 / $535.67	Facility		$90.00	$142.56	$535.67
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $628.44 / $1,070.79 / $1,070.79	Professional		$628.44	$1,070.79	$1,070.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.43 / $176.96 / $212.02	Professional		$167.43	$176.96	$212.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $59.78 / $80.00 / $87.04	Facility		$59.78	$80.00	$87.04