Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.89 / $180.89 / $180.89	Facility		$180.89	$180.89	$180.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.40 / $173.29 / $219.05	Professional		$159.40	$173.29	$219.05
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $60.08 / $161.55 / $196.09	Professional		$60.08	$161.55	$196.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.05 / $45.05 / $45.05	Professional		$45.05	$45.05	$45.05
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 $210.03 / $79,999.20 / $79,999.20	Facility		$210.03	$79,999.20	$79,999.20
United Facility/Professional Professional Modifier Low / Median / High Price $161.71 / $161.71 / $166.58	Professional		$161.71	$161.71	$166.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $161.71 / $217.54 / $217.54	Professional		$161.71	$217.54	$217.54