Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $422.73 / $603.90 / $603.90	Facility		$422.73	$603.90	$603.90
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $295.68 / $295.68 / $295.68	Professional		$295.68	$295.68	$295.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.72 / $76.72 / $91.92	Professional		$76.72	$76.72	$91.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $75.00 / $75.00	Professional		$60.00	$75.00	$75.00
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