Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.50 / $0.50 / $1.13	Facility		$0.50	$0.50	$1.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.50 / $0.50 / $3,498.35	Professional		$0.50	$0.50	$3,498.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $0.86 / $0.86 / $0.86	Facility		$0.86	$0.86	$0.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $1.45 / $4.00	Professional		$0.21	$1.45	$4.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.21 / $1.21 / $1.21	Professional		$1.21	$1.21	$1.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $70.00 / $80.00	Professional		$30.00	$70.00	$80.00
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 $0.18 / $0.18 / $0.18	Professional		$0.18	$0.18	$0.18