Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $406.53 / $473.49 / $473.49	Facility		$406.53	$473.49	$473.49
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,322.00 / $1,322.00 / $1,322.00	Professional		$1,322.00	$1,322.00	$1,322.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.56 / $428.23 / $563.97	Professional		$340.56	$428.23	$563.97
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 $303.14 / $403.56 / $474.36	Facility		$303.14	$403.56	$474.36