Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.01 / $238.98 / $238.98	Professional		$193.01	$238.98	$238.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11.95 / $100.00 / $100.00	Facility		$11.95	$100.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $35.85 / $357.47 / $468.00	Professional		$35.85	$357.47	$468.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.13 / $180.13 / $180.13	Facility		$180.13	$180.13	$180.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.11 / $180.13 / $180.13	Professional		$153.11	$180.13	$180.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $72.00 / $92.40	Professional		$60.00	$72.00	$92.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $311.45 / $311.45 / $311.45	Facility		$311.45	$311.45	$311.45
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $311.45 / $311.45 / $311.45	Professional		$311.45	$311.45	$311.45