Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.51 / $2.27 / $2.27	Professional		$0.51	$2.27	$2.27
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 $2.40 / $8.43 / $75.00	Professional		$2.40	$8.43	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $6.50 / $6.50	Professional		$6.50	$6.50	$6.50
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 $1.19 / $1.19 / $79,999.20	Facility		$1.19	$1.19	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1.19 / $1.19 / $1.19	Professional		$1.19	$1.19	$1.19
United Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Professional		$3.00	$3.00	$3.00