Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.39 / $281.39 / $297.68	Facility		$281.39	$281.39	$297.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.85 / $30.85 / $30.85	Professional		$30.85	$30.85	$30.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $126.95 / $126.95 / $350.00	Facility		$126.95	$126.95	$350.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.10 / $38.25 / $163.00	Professional		$6.10	$38.25	$163.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.75 / $130.13 / $130.13	Professional		$102.75	$130.13	$130.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.63 / $20.68 / $75.00	Professional		$19.63	$20.68	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $132.00 / $140.00 / $247.59	Facility		$132.00	$140.00	$247.59