Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $2.86 / $2.99	Facility		$1.26	$2.86	$2.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $2.18	Professional		$1.26	$1.26	$2.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $748.60	Facility		$100.00	$100.00	$748.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $242.77 / $322.91 / $521.28	Professional		$242.77	$322.91	$521.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.26 / $191.26 / $191.26	Professional		$191.26	$191.26	$191.26
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 $368.58 / $368.58 / $79,999.20	Facility		$368.58	$368.58	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $368.58 / $368.58 / $368.58	Professional		$368.58	$368.58	$368.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $300.00	Professional		$300.00	$300.00	$300.00