Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $189.18 / $189.18	Facility		$90.00	$189.18	$189.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $116.87 / $145.53 / $304.19	Professional		$116.87	$145.53	$304.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $52.52 / $131.50	Professional		$39.29	$52.52	$131.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.36 / $99.75 / $123.95	Facility		$38.36	$99.75	$123.95