Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.99 / $412.99 / $446.74	Professional		$412.99	$412.99	$446.74
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 / $357.47	Professional		$35.85	$357.47	$357.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $296.00 / $296.00	Facility		$296.00	$296.00	$296.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.60 / $251.60 / $296.00	Professional		$251.60	$251.60	$296.00
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 $514.73 / $514.73 / $514.73	Facility		$514.73	$514.73	$514.73
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $514.73 / $514.73 / $514.73	Professional		$514.73	$514.73	$514.73