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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.10 / $232.10 / $232.10	Professional		$232.10	$232.10	$232.10
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 $203.01 / $318.00 / $338.35	Facility		$203.01	$318.00	$338.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.01 / $1.01 / $1.01	Professional		$1.01	$1.01	$1.01