Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $4.61 / $4.80	Facility		$2.02	$4.61	$4.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $3.51	Professional		$2.02	$2.02	$3.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $174.25	Facility		$100.00	$100.00	$174.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $109.21 / $533.25	Professional		$98.00	$109.21	$533.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.87 / $93.87 / $93.87	Professional		$93.87	$93.87	$93.87
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 $122.86 / $122.86 / $79,999.20	Facility		$122.86	$122.86	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $122.86 / $122.86 / $122.86	Professional		$122.86	$122.86	$122.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $98.00 / $98.00	Professional		$98.00	$98.00	$98.00