Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.29 / $503.29 / $3,351.96	Professional		$503.29	$503.29	$3,351.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $365.95 / $394.10	Facility		$80.00	$365.95	$394.10
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $248.16 / $330.88 / $720.24	Professional		$248.16	$330.88	$720.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $390.00 / $397.80	Facility		$390.00	$390.00	$397.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.50 / $390.00 / $390.00	Professional		$331.50	$390.00	$390.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $72.00 / $93.50	Professional		$60.00	$72.00	$93.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $938.25 / $938.25 / $938.25	Facility		$938.25	$938.25	$938.25
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $938.25 / $938.25 / $938.25	Professional		$938.25	$938.25	$938.25