Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $205.30 / $205.30 / $356.10	Facility		$205.30	$205.30	$356.10
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $401.42 / $414.09 / $414.09	Professional		$401.42	$414.09	$414.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.99 / $147.15 / $177.75	Professional		$132.99	$147.15	$177.75
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 $105.75 / $144.84 / $153.43	Facility		$105.75	$144.84	$153.43