Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.96 / $135.96 / $135.96	Facility		$135.96	$135.96	$135.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.05 / $135.96 / $187.11	Professional		$120.05	$135.96	$187.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $198.39 / $267.85 / $358.86	Facility		$198.39	$267.85	$358.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $433.05 / $433.05 / $433.05	Professional		$433.05	$433.05	$433.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.98 / $174.98 / $220.03	Professional		$174.98	$174.98	$220.03
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