Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.46 / $24.46 / $24.46	Professional		$24.46	$24.46	$24.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $117.55 / $270.00	Facility		$80.00	$117.55	$270.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $14.21 / $18.94 / $140.00	Professional		$14.21	$18.94	$140.00
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 $58.98 / $58.98 / $120.00	Professional		$58.98	$58.98	$120.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$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