Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.48 / $103.48 / $246.65	Facility		$103.48	$103.48	$246.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.87 / $25.87 / $345.00	Professional		$25.87	$25.87	$345.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $108.27 / $270.00	Facility		$80.00	$108.27	$270.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $21.78 / $134.00	Professional		$16.34	$21.78	$134.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $120.00 / $229.50	Facility		$120.00	$120.00	$229.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.77 / $18.77 / $120.00	Professional		$18.77	$18.77	$120.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.69 / $42.69 / $42.69	Professional		$42.69	$42.69	$42.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $103.50 / $135.00 / $79,999.20	Facility		$103.50	$135.00	$79,999.20