Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.83 / $41.83 / $98.42	Facility		$41.83	$41.83	$98.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $41.83 / $49.01	Professional		$39.36	$41.83	$49.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $54.52 / $95.00 / $100.00	Facility		$54.52	$95.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $42.43 / $58.88 / $75.00	Professional		$42.43	$58.88	$75.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.86 / $25.72 / $102.88	Facility		$21.86	$25.72	$102.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.86 / $25.72 / $26.63	Professional		$21.86	$25.72	$26.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.82 / $62.50 / $74.96	Professional		$56.82	$62.50	$74.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.72 / $25.72 / $79,999.20	Facility		$25.72	$25.72	$79,999.20
United Facility/Professional Professional Modifier Low / Median / High Price $55.01 / $71.44 / $71.44	Professional		$55.01	$71.44	$71.44