Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Facility		$90.00	$90.00	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $128.10 / $245.65 / $245.65	Professional		$128.10	$245.65	$245.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.52 / $48.19 / $58.17	Professional		$43.52	$48.19	$58.17
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 $36.00 / $50.25 / $82.81	Facility		$36.00	$50.25	$82.81