Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $6.81 / $7.11	Facility		$3.00	$6.81	$7.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $5.19	Professional		$3.00	$3.00	$5.19
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 $19.55 / $23.25 / $45.07	Professional		$19.55	$23.25	$45.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $8.50 / $8.50	Professional		$8.50	$8.50	$8.50
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 $22.31 / $22.31 / $79,999.20	Facility		$22.31	$22.31	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $22.31 / $22.31 / $22.31	Professional		$22.31	$22.31	$22.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $23.00 / $23.00	Professional		$23.00	$23.00	$23.00