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 $119.81 / $342.16 / $364.11	Professional		$119.81	$342.16	$364.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $53.33 / $171.78	Professional		$39.90	$53.33	$171.78
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 $38.94 / $127.68 / $152.09	Facility		$38.94	$127.68	$152.09