Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,663.50 / $1,663.50 / $3,424.84	Professional		$1,663.50	$1,663.50	$3,424.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $150.54	Facility		$100.00	$100.00	$150.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,935.56 / $3,473.99 / $3,914.08	Professional		$2,935.56	$3,473.99	$3,914.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,915.00 / $3,996.00 / $4,893.75	Professional		$3,915.00	$3,996.00	$4,893.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,505.02 / $3,131.28 / $6,262.56	Professional		$2,505.02	$3,131.28	$6,262.56
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 $1,330.80 / $1,330.80 / $2,218.00	Professional		$1,330.80	$1,330.80	$2,218.00