Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.97 / $151.97 / $151.97	Facility		$151.97	$151.97	$151.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.40 / $151.97 / $151.97	Professional		$148.40	$151.97	$151.97
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $160.91 / $670.50 / $670.50	Facility		$160.91	$670.50	$670.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $94.05 / $94.05 / $142.34	Professional		$94.05	$94.05	$142.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.97 / $151.97 / $303.95	Facility		$151.97	$151.97	$303.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $151.97 / $151.97	Professional		$151.97	$151.97	$151.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $50.00	Professional		$30.00	$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