Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.72 / $94.72 / $94.72	Facility		$94.72	$94.72	$94.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.68 / $23.68 / $23.68	Professional		$23.68	$23.68	$23.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $109.00 / $270.00	Facility		$80.00	$109.00	$270.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $15.56 / $20.74 / $134.00	Professional		$15.56	$20.74	$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 $70.50 / $75.72 / $75.72	Professional		$70.50	$75.72	$75.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $39.97 / $75.00	Professional		$39.97	$39.97	$75.00
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