Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.08 / $130.08 / $130.08	Facility		$130.08	$130.08	$130.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.13 / $130.08 / $130.08	Professional		$118.13	$130.08	$130.08
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 $1.43 / $228.26 / $228.26	Professional		$1.43	$228.26	$228.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.17 / $13.17 / $13.17	Professional		$13.17	$13.17	$13.17
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