Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $9.08 / $9.48	Facility		$4.00	$9.08	$9.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $6.92	Professional		$4.00	$4.00	$6.92
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 $2.29 / $3.62 / $40.00	Professional		$2.29	$3.62	$40.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $1.76 / $1.76	Professional		$1.76	$1.76	$1.76
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 $9.78 / $9.78 / $79,999.20	Facility		$9.78	$9.78	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $9.78 / $9.78	Professional		$9.78	$9.78	$9.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $2.29	Professional		$2.29	$2.29	$2.29