Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.64 / $6.64 / $15.62	Facility		$6.64	$6.64	$15.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.25 / $6.64 / $7.12	Professional		$6.25	$6.64	$7.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2.12 / $95.00 / $100.00	Facility		$2.12	$95.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $2.35 / $5.67	Professional		$0.02	$2.35	$5.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.82 / $4.82 / $19.28	Facility		$4.82	$4.82	$19.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $4.82 / $4.82	Professional		$4.82	$4.82	$4.82
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 $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02