Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.95 / $24.95 / $24.95	Facility		$24.95	$24.95	$24.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $24.95 / $24.95	Professional		$24.95	$24.95	$24.95
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $102.96 / $102.96	Facility		$90.00	$102.96	$102.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $29.35 / $44.55	Professional		$29.35	$29.35	$44.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.68 / $27.68 / $110.72	Facility		$27.68	$27.68	$110.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $27.68 / $27.68	Professional		$27.68	$27.68	$27.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.54 / $23.54 / $58.85	Professional		$23.54	$23.54	$58.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.40 / $44.92 / $69.59	Facility		$37.40	$44.92	$69.59
United Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $29.35 / $35.22	Professional		$29.35	$29.35	$35.22