Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.70 / $119.70 / $128.00	Professional		$119.70	$119.70	$128.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $100.00 / $100.00	Facility		$3.98	$100.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $93.05 / $150.00 / $194.00	Professional		$93.05	$150.00	$194.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.50 / $94.50 / $94.50	Facility		$94.50	$94.50	$94.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.33 / $94.50 / $150.55	Professional		$80.33	$94.50	$150.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $92.40	Professional		$40.00	$50.00	$92.40
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