Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.34 / $0.36	Facility		$0.15	$0.34	$0.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.26	Professional		$0.15	$0.15	$0.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $100.00 / $100.00	Facility		$90.00	$100.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $1.46 / $1.61	Professional		$0.18	$1.46	$1.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $0.28	Professional		$0.28	$0.28	$0.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $75.00	Professional		$50.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $0.20 / $79,999.20	Facility		$0.20	$0.20	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.20 / $0.20	Professional		$0.20	$0.20	$0.20
United Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.26	Professional		$0.26	$0.26	$0.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.18 / $0.23	Professional		$0.18	$0.18	$0.23