Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $963.27 / $1,376.10 / $1,376.10	Facility		$963.27	$1,376.10	$1,376.10
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $400.80 / $400.80 / $400.80	Professional		$400.80	$400.80	$400.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.86 / $283.22 / $339.33	Professional		$269.86	$283.22	$339.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20