Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.75 / $3.97 / $4.15	Facility		$1.75	$3.97	$4.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.75 / $3.03	Professional		$1.75	$1.75	$3.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $100.00 / $100.00	Facility		$80.00	$100.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.67 / $3.74	Professional		$0.28	$0.67	$3.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.20 / $0.20	Professional		$0.20	$0.20	$0.20
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 $0.46 / $79,999.20 / $79,999.20	Facility		$0.46	$79,999.20	$79,999.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $0.31 / $0.31	Professional		$0.31	$0.31	$0.31