Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $90.00 / $90.00	Facility		$80.00	$90.00	$90.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.13 / $79.13 / $98.91	Professional		$79.13	$79.13	$98.91
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