Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.83 / $275.70 / $275.70	Professional		$264.83	$275.70	$275.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $90.00 / $100.00	Facility		$80.00	$90.00	$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 $226.63 / $226.63 / $226.63	Facility		$226.63	$226.63	$226.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.64 / $192.64 / $226.63	Professional		$192.64	$192.64	$226.63
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