Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $222.00 / $520.20 / $520.20	Facility		$222.00	$520.20	$520.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.51 / $200.51 / $250.63	Professional		$200.51	$200.51	$250.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $178.30 / $237.90 / $246.56	Facility		$178.30	$237.90	$246.56