Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.04 / $9.17 / $9.57	Facility		$4.04	$9.17	$9.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $4.04 / $6.99	Professional		$4.04	$4.04	$6.99
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 $0.83 / $4.73 / $40.00	Professional		$0.83	$4.73	$40.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $2.98 / $2.98	Professional		$2.98	$2.98	$2.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $3.17 / $3.17	Professional		$2.60	$3.17	$3.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2.85 / $2.85 / $79,999.20	Facility		$2.85	$2.85	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2.85 / $2.85 / $2.85	Professional		$2.85	$2.85	$2.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $0.83 / $0.83	Professional		$0.83	$0.83	$0.83