Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.50 / $17.03 / $17.78	Facility		$7.50	$17.03	$17.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $7.50 / $12.98	Professional		$7.50	$7.50	$12.98
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 $0.31 / $3.91 / $11.00	Professional		$0.31	$3.91	$11.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.37 / $4.37	Professional		$4.37	$4.37	$4.37
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 $5.58 / $5.58 / $79,999.20	Facility		$5.58	$5.58	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $5.58 / $5.58	Professional		$5.58	$5.58	$5.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $4.40 / $4.40	Professional		$4.40	$4.40	$4.40