Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $578.66 / $658.49 / $658.49	Facility		$578.66	$658.49	$658.49
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $602.00 / $602.00 / $693.25	Professional		$602.00	$602.00	$693.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.50 / $198.55 / $249.66	Professional		$164.50	$198.55	$249.66
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 $132.50 / $180.69 / $212.39	Facility		$132.50	$180.69	$212.39