Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.91 / $338.00 / $4,798.75	Facility		$21.91	$338.00	$4,798.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $77.84 / $3,798.96	Professional		$75.00	$77.84	$3,798.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $87.33 / $87.33 / $87.33	Facility		$87.33	$87.33	$87.33
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $23.78 / $47.55 / $86.97	Professional		$23.78	$47.55	$86.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.50 / $242.18 / $436.92	Facility		$54.50	$242.18	$436.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $80.00	Professional		$40.00	$50.00	$80.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $375.63 / $375.63 / $375.63	Facility		$375.63	$375.63	$375.63