Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $155.37	Professional		$141.25	$141.25	$155.37
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $131.19 / $230.49 / $230.49	Facility		$131.19	$230.49	$230.49
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $158.96 / $158.96 / $234.30	Professional		$158.96	$158.96	$234.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.50 / $148.50 / $594.00	Facility		$148.50	$148.50	$594.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.50 / $148.50 / $148.50	Professional		$148.50	$148.50	$148.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $136.00 / $136.00 / $154.35	Facility		$136.00	$136.00	$154.35
United Facility/Professional Professional Modifier Low / Median / High Price $158.96 / $179.62 / $190.75	Professional		$158.96	$179.62	$190.75