Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.75 / $81.75 / $81.75	Facility		$81.75	$81.75	$81.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.78 / $72.43 / $81.75	Professional		$48.78	$72.43	$81.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $13.94 / $316.83 / $316.83	Facility		$13.94	$316.83	$316.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.68 / $14.01 / $94.56	Professional		$11.68	$14.01	$94.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.22 / $49.22 / $98.44	Facility		$49.22	$49.22	$98.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.22 / $49.22 / $54.75	Professional		$49.22	$49.22	$54.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $75.00	Professional		$50.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $98.45 / $118.25 / $119.93	Facility		$98.45	$118.25	$119.93
United Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $16.22 / $16.22	Professional		$6.49	$16.22	$16.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.31 / $57.31 / $57.31	Professional		$57.31	$57.31	$57.31