Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.69 / $3.84 / $4.01	Facility		$1.69	$3.84	$4.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.69 / $2.92	Professional		$1.69	$1.69	$2.92
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 $2.20 / $5.53 / $40.00	Professional		$2.20	$5.53	$40.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.89 / $1.89 / $1.89	Professional		$1.89	$1.89	$1.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $3.49 / $3.49	Professional		$2.86	$3.49	$3.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7.35 / $7.35 / $79,999.20	Facility		$7.35	$7.35	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $7.35 / $7.35 / $7.35	Professional		$7.35	$7.35	$7.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.20 / $2.20 / $2.20	Professional		$2.20	$2.20	$2.20