Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.05 / $336.05 / $3,694.91	Professional		$336.05	$336.05	$3,694.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $347.75 / $374.50	Facility		$80.00	$347.75	$374.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $592.84 / $713.74	Professional		$50.00	$592.84	$713.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $405.00 / $413.10	Facility		$405.00	$405.00	$413.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.25 / $405.00 / $750.00	Professional		$344.25	$405.00	$750.00
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