Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $45.40 / $47.40	Facility		$20.00	$45.40	$47.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $34.60	Professional		$20.00	$20.00	$34.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $100.00 / $170.00	Facility		$80.00	$100.00	$170.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $29.88 / $58.24 / $221.78	Professional		$29.88	$58.24	$221.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $18.70 / $18.70	Professional		$18.70	$18.70	$18.70
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 $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.70 / $32.70 / $32.70	Professional		$32.70	$32.70	$32.70