Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.51 / $22.51 / $22.51	Professional		$22.51	$22.51	$22.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $120.00 / $120.00	Facility		$19.14	$120.00	$120.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $19.14 / $122.00	Professional		$8.75	$19.14	$122.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $77.00 / $204.00	Facility		$77.00	$77.00	$204.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $192.19	Professional		$20.89	$20.89	$192.19
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