Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.48 / $0.48 / $1.12	Facility		$0.48	$0.48	$1.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.48 / $0.55	Professional		$0.45	$0.48	$0.55
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $95.00 / $95.00	Facility		$95.00	$95.00	$95.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.92 / $50.00	Professional		$0.11	$0.92	$50.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.85 / $3.85 / $7.70	Facility		$3.85	$3.85	$7.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.94 / $3.85 / $3.85	Professional		$0.94	$3.85	$3.85
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 $7.70 / $9.25 / $9.38	Facility		$7.70	$9.25	$9.38
United Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $4.53 / $4.53	Professional		$1.81	$4.53	$4.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.59 / $0.59 / $0.59	Professional		$0.59	$0.59	$0.59