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
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $97.66 / $97.66 / $97.66	Professional		$97.66	$97.66	$97.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $36.17 / $43.34	Professional		$34.47	$36.17	$43.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $40.70 / $79,999.20 / $79,999.20	Facility		$40.70	$79,999.20	$79,999.20