Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $11.35 / $11.85	Facility		$5.00	$11.35	$11.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $8.65	Professional		$5.00	$5.00	$8.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $197.12	Facility		$100.00	$100.00	$197.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $376.00 / $1,420.41	Professional		$71.00	$376.00	$1,420.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.24 / $31.24 / $31.24	Professional		$31.24	$31.24	$31.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $614.29 / $614.29 / $79,999.20	Facility		$614.29	$614.29	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $614.29 / $614.29 / $614.29	Professional		$614.29	$614.29	$614.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $376.00 / $376.00 / $376.00	Professional		$376.00	$376.00	$376.00