Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4.20 / $100.00 / $100.00	Facility		$4.20	$100.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $98.22 / $150.00 / $150.00	Professional		$98.22	$150.00	$150.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.74 / $104.74 / $104.74	Professional		$104.74	$104.74	$104.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $60.00 / $93.50	Professional		$45.00	$60.00	$93.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $127.15 / $127.15 / $127.15	Facility		$127.15	$127.15	$127.15
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $127.15 / $127.15 / $127.15	Professional		$127.15	$127.15	$127.15