Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $124.00 / $362.58 / $362.58	Facility		$124.00	$362.58	$362.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $653.00 / $653.00 / $653.00	Professional		$653.00	$653.00	$653.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.07 / $192.13 / $241.58	Professional		$158.07	$192.13	$241.58
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 $141.12 / $174.99 / $205.69	Facility		$141.12	$174.99	$205.69