Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,398.77 / $1,398.77 / $1,398.77	Facility		$1,398.77	$1,398.77	$1,398.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,358.93 / $1,404.69 / $1,714.81	Professional		$1,358.93	$1,404.69	$1,714.81
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $60.08 / $1,342.49 / $1,543.30	Professional		$60.08	$1,342.49	$1,543.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,996.77 / $1,996.77 / $2,510.79	Professional		$1,996.77	$1,996.77	$2,510.79
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 $1,704.97 / $79,999.20 / $79,999.20	Facility		$1,704.97	$79,999.20	$79,999.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,342.67 / $1,342.67 / $1,448.30	Professional		$1,342.67	$1,342.67	$1,448.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,342.67 / $1,713.17 / $1,713.17	Professional		$1,342.67	$1,713.17	$1,713.17