Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.32 / $112.32 / $112.32	Facility		$112.32	$112.32	$112.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.12 / $112.32 / $112.32	Professional		$78.12	$112.32	$112.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.90 / $73.79 / $102.30	Professional		$48.90	$73.79	$102.30
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $93.49 / $145.26 / $185.43	Professional		$93.49	$145.26	$185.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Professional		$2.00	$2.00	$2.00
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