Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,908.26 / $1,908.26 / $1,908.26	Facility		$1,908.26	$1,908.26	$1,908.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,908.26 / $1,908.26 / $11,002.56	Professional		$1,908.26	$1,908.26	$11,002.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $110.66	Facility		$100.00	$100.00	$110.66
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $4,183.89 / $4,183.89	Professional		$600.00	$4,183.89	$4,183.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,300.60 / $4,300.60 / $4,300.60	Facility		$4,300.60	$4,300.60	$4,300.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,300.60 / $4,300.60 / $4,300.60	Professional		$4,300.60	$4,300.60	$4,300.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,621.99 / $6,246.66 / $12,493.32	Professional		$5,621.99	$6,246.66	$12,493.32
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