Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.16 / $30.16 / $70.95	Facility		$30.16	$30.16	$70.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.45 / $30.16 / $30.16	Professional		$29.45	$30.16	$30.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $35.47 / $49.63	Professional		$35.47	$35.47	$49.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.08 / $30.08 / $60.16	Facility		$30.08	$30.08	$60.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $36.89	Professional		$30.08	$30.08	$36.89
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 $30.08 / $30.08 / $79,999.20	Facility		$30.08	$30.08	$79,999.20
United Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $30.08	Professional		$30.08	$30.08	$30.08