Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $496.93 / $709.90 / $709.90	Facility		$496.93	$709.90	$709.90
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $486.76 / $629.84 / $629.84	Professional		$486.76	$629.84	$629.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.19 / $153.44 / $183.83	Professional		$146.19	$153.44	$183.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $75.00	Professional		$50.00	$65.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $165.47 / $79,999.20 / $79,999.20	Facility		$165.47	$79,999.20	$79,999.20