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 / $316.79	Facility		$100.00	$100.00	$316.79
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $285.00 / $407.30	Professional		$140.00	$285.00	$407.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.58 / $309.58 / $309.58	Professional		$309.58	$309.58	$309.58
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 $285.00 / $285.00 / $285.00	Professional		$285.00	$285.00	$285.00