Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.40 / $247.40 / $258.39	Professional		$247.40	$247.40	$258.39
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 / $451.00	Professional		$35.85	$357.47	$451.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.83 / $170.83 / $170.83	Facility		$170.83	$170.83	$170.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.21 / $170.83 / $170.83	Professional		$145.21	$170.83	$170.83
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