Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.65 / $246.65 / $1,008.00	Facility		$246.65	$246.65	$1,008.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $26.31 / $26.31	Professional		$26.31	$26.31	$26.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $25.52 / $120.00 / $120.00	Facility		$25.52	$120.00	$120.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $26.80 / $122.00	Professional		$11.25	$26.80	$122.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $204.00	Facility		$100.00	$100.00	$204.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $145.26 / $157.50	Professional		$126.00	$145.26	$157.50
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 $188.17 / $79,999.20 / $79,999.20	Facility		$188.17	$79,999.20	$79,999.20