Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.03 / $17.03 / $40.08	Facility		$17.03	$17.03	$40.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $17.03 / $17.03	Professional		$16.63	$17.03	$17.03
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $20.04 / $28.03	Professional		$20.04	$20.04	$28.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $33.97	Facility		$16.98	$16.98	$33.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $20.84	Professional		$16.98	$16.98	$20.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
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
United Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $20.04 / $20.04	Professional		$20.04	$20.04	$20.04