Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $425.00 / $425.00	Professional		$425.00	$425.00	$425.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $110.00	Professional		$45.00	$50.00	$110.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.86 / $12.86 / $79,999.20	Facility		$12.86	$12.86	$79,999.20