Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $11.35 / $11.85	Facility		$5.00	$11.35	$11.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.15	Professional		$5.00	$5.00	$5.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $100.00 / $100.00	Facility		$2.40	$100.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.40 / $7.00 / $75.00	Professional		$0.40	$7.00	$75.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.55 / $22.55 / $22.55	Facility		$22.55	$22.55	$22.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $19.17 / $22.55	Professional		$19.17	$19.17	$22.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $72.00 / $93.50	Professional		$45.00	$72.00	$93.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $120.25 / $120.25 / $120.25	Facility		$120.25	$120.25	$120.25
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $120.25 / $120.25 / $120.25	Professional		$120.25	$120.25	$120.25