Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.81 / $6.38 / $6.66	Facility		$2.81	$6.38	$6.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.81 / $2.81 / $4.86	Professional		$2.81	$2.81	$4.86
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 $108.32 / $187.82 / $622.03	Professional		$108.32	$187.82	$622.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $99.00 / $99.00	Professional		$99.00	$99.00	$99.00
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 $55.29 / $55.29 / $79,999.20	Facility		$55.29	$55.29	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $55.29 / $55.29 / $55.29	Professional		$55.29	$55.29	$55.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $124.00 / $124.00 / $124.00	Professional		$124.00	$124.00	$124.00