Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.53 / $15.53 / $30.80	Facility		$15.53	$15.53	$30.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $15.53 / $15.53	Professional		$12.78	$15.53	$15.53
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $100.00 / $100.00	Facility		$85.00	$100.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $14.78 / $15.40	Professional		$14.78	$14.78	$15.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.94 / $8.94 / $35.79	Facility		$8.94	$8.94	$35.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $8.94 / $10.98	Professional		$8.94	$8.94	$10.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $8.96 / $50.00	Professional		$8.96	$8.96	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.70 / $22.46 / $22.78	Facility		$18.70	$22.46	$22.78
United Facility/Professional Professional Modifier Low / Median / High Price $15.40 / $15.40 / $15.40	Professional		$15.40	$15.40	$15.40