Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.76 / $1.76 / $4.13	Facility		$1.76	$1.76	$4.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $1.76 / $2.06	Professional		$1.66	$1.76	$2.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $0.80 / $100.00 / $100.00	Facility		$0.80	$100.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $2.06 / $50.00	Professional		$0.70	$2.06	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.75 / $0.75 / $0.94	Professional		$0.75	$0.75	$0.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,611.09 / $1,790.11 / $3,580.22	Professional		$1,611.09	$1,790.11	$3,580.22
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 $3.21 / $4.17 / $4.17	Professional		$3.21	$4.17	$4.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.06 / $2.06	Professional		$2.06	$2.06	$2.06