Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $135.00 / $135.00	Facility		$80.00	$135.00	$135.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $88.55 / $101.20	Professional		$56.00	$88.55	$101.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.29 / $96.29 / $120.36	Professional		$96.29	$96.29	$120.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $78.11 / $118.95 / $126.63	Facility		$78.11	$118.95	$126.63