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 $122.00 / $122.00 / $5,919.01	Professional		$122.00	$122.00	$5,919.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $41.12 / $48.65	Professional		$35.65	$41.12	$48.65
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 $28.67 / $39.00 / $40.86	Facility		$28.67	$39.00	$40.86