Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.48 / $281.48 / $281.48	Facility		$281.48	$281.48	$281.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.58 / $272.36 / $325.26	Professional		$258.58	$272.36	$325.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $178.29 / $178.29 / $178.29	Professional		$178.29	$178.29	$178.29
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $54.78 / $252.91 / $273.77	Professional		$54.78	$252.91	$273.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $22.70 / $22.70	Professional		$22.70	$22.70	$22.70
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 $291.11 / $79,999.20 / $79,999.20	Facility		$291.11	$79,999.20	$79,999.20
United Facility/Professional Professional Modifier Low / Median / High Price $256.19 / $258.47 / $258.47	Professional		$256.19	$258.47	$258.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $252.91 / $299.04 / $299.04	Professional		$252.91	$299.04	$299.04