Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.46 / $3.46 / $5.70	Facility		$3.46	$3.46	$5.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.46 / $3.46 / $1,486.90	Professional		$3.46	$3.46	$1,486.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $483.60	Facility		$100.00	$100.00	$483.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $375.85 / $375.85	Professional		$240.00	$375.85	$375.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.98 / $217.98 / $217.98	Professional		$217.98	$217.98	$217.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
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
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,807.00 / $1,807.00 / $1,807.00	Professional		$1,807.00	$1,807.00	$1,807.00