Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.00 / $574.00 / $574.00	Professional		$574.00	$574.00	$574.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,423.10 / $1,423.10	Facility		$100.00	$1,423.10	$1,423.10
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $292.00 / $292.00 / $403.00	Professional		$292.00	$292.00	$403.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $424.00 / $424.00	Facility		$424.00	$424.00	$424.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.40 / $424.00 / $457.97	Professional		$360.40	$424.00	$457.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $60.00 / $93.50	Professional		$45.00	$60.00	$93.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $190.74 / $190.74 / $190.74	Facility		$190.74	$190.74	$190.74
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $190.74 / $190.74 / $190.74	Professional		$190.74	$190.74	$190.74