Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.43 / $197.04 / $496.00	Professional		$50.43	$197.04	$496.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4.43 / $80.00 / $100.00	Facility		$4.43	$80.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $86.40 / $103.68 / $115.20	Professional		$86.40	$103.68	$115.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.57 / $228.57 / $228.57	Facility		$228.57	$228.57	$228.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.89 / $99.89 / $228.57	Professional		$99.89	$99.89	$228.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $72.00 / $85.00	Professional		$45.00	$72.00	$85.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,000.00 / $4,000.00 / $79,999.20	Facility		$4,000.00	$4,000.00	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4,000.00 / $4,000.00 / $4,000.00	Professional		$4,000.00	$4,000.00	$4,000.00