Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.92 / $216.92 / $216.92	Facility		$216.92	$216.92	$216.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.91 / $216.92 / $238.61	Professional		$216.91	$216.92	$238.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $218.46 / $622.16 / $622.16	Facility		$218.46	$622.16	$622.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $255.20 / $255.20 / $308.68	Professional		$255.20	$255.20	$308.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.19 / $238.19 / $952.76	Facility		$238.19	$238.19	$952.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.19 / $238.19 / $238.19	Professional		$238.19	$238.19	$238.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $212.67 / $531.67	Professional		$50.00	$212.67	$531.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $198.83 / $271.51 / $275.37	Facility		$198.83	$271.51	$275.37
United Facility/Professional Facility Modifier Low / Median / High Price $312.41 / $312.41 / $312.41	Facility		$312.41	$312.41	$312.41
United Facility/Professional Professional Modifier Low / Median / High Price $219.05 / $247.53 / $262.86	Professional		$219.05	$247.53	$262.86