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 / $160.44	Facility		$90.00	$90.00	$160.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $155.79 / $199.08 / $199.08	Professional		$155.79	$199.08	$199.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $126.80 / $195.71	Professional		$71.09	$126.80	$195.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $54.60 / $69.54 / $81.73	Facility		$54.60	$69.54	$81.73