Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $209.06 / $209.06 / $427.68	Facility		$209.06	$209.06	$427.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $398.58 / $2,940.00 / $2,940.00	Professional		$398.58	$2,940.00	$2,940.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.78 / $165.70 / $205.99	Professional		$131.78	$165.70	$205.99
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 $124.26 / $156.75 / $185.59	Facility		$124.26	$156.75	$185.59