Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.22 / $86.09 / $165.90	Facility		$14.22	$86.09	$165.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $121.10	Professional		$70.00	$70.00	$121.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $400.00 / $400.00	Professional		$28.08	$400.00	$400.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $51.00	Professional		$51.00	$51.00	$51.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $85.00	Professional		$45.00	$50.00	$85.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20