Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $134.18 / $134.18 / $134.18	Facility		$134.18	$134.18	$134.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $164.06 / $414.99 / $527.02	Professional		$164.06	$414.99	$527.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.33 / $104.78 / $165.74	Professional		$83.33	$104.78	$165.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $200.64 / $79,999.20	Facility		$128.82	$200.64	$79,999.20