Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $100.00 / $100.00	Facility		$85.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.12 / $1.41	Professional		$1.12	$1.12	$1.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $45.00 / $50.00	Professional		$40.00	$45.00	$50.00
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