Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.10 / $96.10 / $96.10	Facility		$96.10	$96.10	$96.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.12 / $96.10 / $96.10	Professional		$69.12	$96.10	$96.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $73.43 / $109.20	Professional		$64.00	$73.43	$109.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $61.75 / $160.84 / $160.84	Professional		$61.75	$160.84	$160.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $20.93 / $20.93	Professional		$20.93	$20.93	$20.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $75.00	Professional		$50.00	$50.00	$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