Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.31 / $643.71 / $40,000.00	Facility		$402.31	$643.71	$40,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.32 / $402.32 / $3,306.43	Professional		$402.32	$402.32	$3,306.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $545.60	Facility		$100.00	$100.00	$545.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $409.20 / $545.60 / $668.00	Professional		$409.20	$545.60	$668.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,054.93 / $1,054.93 / $1,054.93	Professional		$1,054.93	$1,054.93	$1,054.93
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 $40.01 / $40.01 / $40.01	Professional		$40.01	$40.01	$40.01