Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.16 / $22.16 / $22.16	Professional		$22.16	$22.16	$22.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $18.22 / $100.00 / $100.00	Facility		$18.22	$100.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $20.23 / $134.00	Professional		$15.18	$20.23	$134.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.63 / $228.00 / $228.00	Professional		$113.63	$228.00	$228.00
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 $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20