Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.82 / $2,756.20 / $5,904.90	Facility		$99.82	$2,756.20	$5,904.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $33.60 / $310.39	Professional		$0.23	$33.60	$310.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $760.00 / $760.00	Facility		$100.00	$760.00	$760.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.68 / $64,999.35	Professional		$45.00	$45.68	$64,999.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.87 / $2.87 / $2.87	Professional		$2.87	$2.87	$2.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.50 / $85.00 / $93.50	Professional		$76.50	$85.00	$93.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $240.50 / $240.50 / $79,999.20	Facility		$240.50	$240.50	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $240.50 / $240.50 / $240.50	Professional		$240.50	$240.50	$240.50
United Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $12.77 / $12.77	Professional		$12.77	$12.77	$12.77