Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,133.39 / $5,133.39 / $6,850.00	Professional		$5,133.39	$5,133.39	$6,850.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $153.94	Facility		$100.00	$100.00	$153.94
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,502.37 / $5,305.45 / $55,100.71	Professional		$3,502.37	$5,305.45	$55,100.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16,740.00 / $16,740.00 / $16,740.00	Professional		$16,740.00	$16,740.00	$16,740.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $45.00 / $50.00	Professional		$40.00	$45.00	$50.00
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