Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $245.76 / $245.76 / $245.76	Facility		$245.76	$245.76	$245.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $125.79 / $179.69 / $364.15	Professional		$125.79	$179.69	$364.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.92 / $57.37 / $101.85	Professional		$42.92	$57.37	$101.85
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 $41.57 / $77.52 / $118.58	Facility		$41.57	$77.52	$118.58