Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $346.14 / $403.25 / $403.25	Facility		$346.14	$403.25	$403.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,204.00 / $1,204.00 / $1,386.51	Professional		$1,204.00	$1,204.00	$1,386.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.80 / $364.40 / $464.59	Professional		$289.80	$364.40	$464.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $75.00	Professional		$50.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $236.00 / $336.30 / $395.30	Facility		$236.00	$336.30	$395.30