Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $5.68 / $5.93	Facility		$2.50	$5.68	$5.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $2.50 / $4.33	Professional		$2.50	$2.50	$4.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $90.00 / $100.00	Facility		$80.00	$90.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $26.48 / $50.01	Professional		$0.20	$26.48	$50.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Professional		$3.00	$3.00	$3.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
United Facility/Professional Professional Modifier Low / Median / High Price $23.16 / $23.16 / $23.16	Professional		$23.16	$23.16	$23.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.20 / $1.41	Professional		$0.20	$0.20	$1.41