Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $10.59 / $10.59	Professional		$10.59	$10.59	$10.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $90.00 / $130.00	Facility		$80.00	$90.00	$130.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $11.44 / $57.00	Professional		$3.00	$11.44	$57.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $40.00 / $96.90	Facility		$40.00	$40.00	$96.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.83 / $4.83 / $40.00	Professional		$4.83	$4.83	$40.00
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 $50.00 / $90.00 / $79,999.20	Facility		$50.00	$90.00	$79,999.20