Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $139.63 / $139.63 / $139.63	Facility		$139.63	$139.63	$139.63
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $109.87 / $109.87 / $140.99	Professional		$109.87	$109.87	$140.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.47 / $39.84 / $50.09	Professional		$37.47	$39.84	$50.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $24.37 / $24.37	Professional		$24.37	$24.37	$24.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.01 / $41.54 / $44.00	Facility		$31.01	$41.54	$44.00