Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $2.50 / $5.90	Facility		$2.50	$2.50	$5.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $2.50 / $2.54	Professional		$2.36	$2.50	$2.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $95.00 / $100.00	Facility		$95.00	$95.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1.37 / $2.04 / $2.22	Professional		$1.37	$2.04	$2.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.73 / $1.73 / $6.92	Facility		$1.73	$1.73	$6.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $1.73 / $1.73	Professional		$1.73	$1.73	$1.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $60.00 / $72.00	Professional		$30.00	$60.00	$72.00
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 $1.17 / $1.52 / $1.52	Professional		$1.17	$1.52	$1.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.37 / $1.37 / $1.37	Professional		$1.37	$1.37	$1.37