Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3.66 / $3.86 / $108.00	Professional		$3.66	$3.86	$108.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $7.62 / $7.62	Professional		$7.62	$7.62	$7.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.47 / $17.47 / $17.47	Professional		$17.47	$17.47	$17.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $75.00	Professional		$50.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $118.59 / $185.50 / $197.65	Facility		$118.59	$185.50	$197.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.86 / $3.86 / $3.86	Professional		$3.86	$3.86	$3.86